Tricia Phan Od Llc

NPI 1255611034 - Optometrist - 152W00000X

NPI Details
NPI 1255611034
Enumeration Date 08/24/2011
Last Updated 08/24/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name TRICIA TRICIA
Position OWNER
Phone (253) 476-2874
Fax
Practice Location
4051 TACOMA MALL BLVD
TACOMA WA, 98409-7287, US
Phone (253) 476-2874
Fax
Business Location
4051 TACOMA MALL BLVD
TACOMA WA, 98409-7287, US
Phone
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Washington
License Number OD60176880
Remove 1255611034 NPI Number
 

According to our database, Tricia Phan Od Llc NPI is 1255611034, taxonomy code is 152W00000X and license number is OD60176880, license state is located at Washington. Tricia Phan Od Llc physically located at 4051 Tacoma Mall Blvd, Tacoma WA, 98409-7287. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1255611034 NPI number is provided on an as is basis without warranty of any kind. 1255611034 is maintained by the National Plan & Provider Enumeration System. The contents of Tricia Phan Od Llc are for informational purposes only.