| NPI | 1508911678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THANH HA THI PHAM Optometric Physician 253-671-6012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 3531TX) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |