Individual
GRACE MARIE RAMOS GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2050 LAWRENCEVILLE HWY, DECATUR, GA 30033-4323
(404) 325-5300
Mailing address
BRISAS DE LUQUILLO, FF11 CALLE K, LUQUILLO, PR 00773
(787) 240-5456
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003113
GA
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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