JESSAMINE MICHELLE MAIBEN

HILLSBORO, OR
NPI1083709950
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy156FC0800X Technician/Technologist Contact Lens
Enumeration Date2006-10-04
Last Update Date2007-07-08
Business Address
JESSAMINE MICHELLE MAIBEN
19400 NW EVERGREEN PKWY
HILLSBORO, OR 97124-7031
Phone number: 503-690-5005
Mailing Address
JESSAMINE MICHELLE MAIBEN
906 CRESTVIEW DR
NEWBERG, OR 97132-1239
Phone number: 503-267-1347