Individual
MR. GUY T MOUAWAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
345 W FOOTHILL BLVD STE E, GLENDORA, CA 91741-3339
(626) 335-5815
Mailing address
345 W FOOTHILL BLVD STE E, GLENDORA, CA 91741-3339
(626) 335-5815
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
SL2668
CA
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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