Individual
QIAN YANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6020 S PACKARD AVE, CUDAHY, WI 53110-3028
(414) 769-6900
Mailing address
323 CEDAR AVE, WEST BERLIN, NJ 08091-9168
(609) 598-1282
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3448-35
WI
Other
Enumeration date
03/20/2017
Last updated
11/10/2017
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