Individual
DR. JACOB JACQUES WANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
440 N ALVERNON WAY, TUCSON, AZ 85711-1958
(520) 327-6211
Mailing address
440 N ALVERNON WAY, TUCSON, AZ 85711-1958
(520) 327-6211
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2326
AZ
152W00000X
Optometrist
OPT13290T
CA
Other
Enumeration date
07/03/2007
Last updated
06/14/2022
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