Individual
DR. YANGZI MAGGIE JIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7571 S 3800 W, WEST JORDAN, UT 84084-4319
(801) 282-5682
(801) 282-5684
Mailing address
1918 E RICH WAY, SALT LAKE CITY, UT 84121-4881
(801) 505-9886
(801) 282-5684
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
UVT007131
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932249901
—
UT
01
—
U000086030
MEDICARE
UT
Enumeration date
02/07/2007
Last updated
05/17/2019
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