Individual
SUEMAYAH GOUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
216 MILL ST, BRISTOL, PA 19007
(215) 781-2020
(215) 788-3504
Mailing address
216 MILL ST, BRISTOL, PA 19007-4809
(215) 781-2020
(215) 788-3504
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002767
PA
Other
Enumeration date
06/19/2013
Last updated
06/03/2019
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