P JOE JITTAWAIT

WICHITA, KS
NPI1992770564
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: KS  1569)
Enumeration Date2006-02-17
Last Update Date2008-02-26
Business Address
-- P JOE JITTAWAIT OD
1851 N WEBB RD
WICHITA, KS 67206-3413
Phone number: 316-636-2010
Mailing Address
-- P JOE JITTAWAIT OD
1851 N WEBB RD ATTN FLR2
WICHITA, KS 67206-3413
Phone number: 316-636-2010