DANIEL ADRIAN BAZUA

TACOMA, WA
NPI1437520061
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: UT  9560001-9934)
Enumeration Date2015-10-08
Last Update Date2021-07-01
Business Address
DANIEL ADRIAN BAZUA O.D.
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-0198
Mailing Address
DANIEL ADRIAN BAZUA O.D.
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-2252
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