Individual
SHANNON YOLANDA GUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8580TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343496101
—
TX
Enumeration date
01/24/2014
Last updated
04/08/2021
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