Individual
DONALD J GUIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2248 D ST, LA VERNE, CA 91750-5403
(909) 593-3519
(909) 593-3521
Mailing address
2248 D ST, LA VERNE, CA 91750-5403
(909) 593-3519
(909) 593-3521
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7205T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0072050
—
CA
Enumeration date
08/24/2005
Last updated
04/22/2009
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