| NPI | 1295014041 |
|---|---|
| Doing Business As | JUANITA VISION CLINIC |
| Entity Type | Organization |
| Authorized Contact | JUSTIN JUE President 206-355-0282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD60095437) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA OD60017736) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |