Individual
SOLANGE CHIKANDO WANDJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2658 GERMANTOWN AVE, PHILADELPHIA, PA 19133-1619
(267) 879-9450
Mailing address
2658 GERMANTOWN AVE, PHILADELPHIA, PA 19133-1619
(267) 879-9450
(267) 657-1340
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002426
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103076130
—
PA
Enumeration date
08/14/2011
Last updated
02/28/2016
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