Individual
JESSICA LAN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2830 JACKSON AVE APT 48F, LONG ISLAND CITY, NY 11101-3326
(469) 230-0666
Mailing address
2830 JACKSON AVE APT 48F, LONG ISLAND CITY, NY 11101-3326
(469) 230-0666
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9768T
TX
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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