Individual
JAZZMON LEE NGUEDJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2925 LORD BALTIMORE DR, SUITE 300, BALTIMORE, MD 21244-2653
(410) 277-3937
(410) 281-9388
Mailing address
2925 LORD BALTIMORE DR, SUITE 300, BALTIMORE, MD 21244-2653
(410) 277-3937
(410) 281-9388
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA2536
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TA2536
LICENCE
MD
Enumeration date
06/08/2016
Last updated
01/25/2022
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