Dolores Mae Fraire OD

NPI 1033103221 - Optometrist - 152W00000X

NPI Details
NPI 1033103221
Gender Female
Enumeration Date 09/02/2005
Last Updated 03/04/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
2026 OLYMPIC HWY N
STE 102
SHELTON WA, 98584-4156, US
Phone (360) 427-7553
Fax (360) 426-2033
Business Location
1192 E ISLAND LAKE DR
SHELTON WA, 98584-7824, US
Phone (360) 432-5829
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Washington
License Number 3108
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According to our database, Dr. Dolores Mae Fraire OD NPI is 1033103221, taxonomy code is 152W00000X and license number is 3108, license state is located at Washington. Dolores Mae Fraire OD physically located at 2026 Olympic Hwy N, Shelton WA, 98584-4156. NPI Number Dolores Mae Fraire OD has the Individual type.

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1033103221 NPI number is provided on an as is basis without warranty of any kind. 1033103221 is maintained by the National Plan & Provider Enumeration System. The contents of Dolores Mae Fraire OD are for informational purposes only.