NPI | 1639316490 |
---|---|
Entity Type | Organization |
Authorized Contact | JANET IRENE GORDON Ophthalomology 1360-694-0760 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: WA MD 00017326) |
Enumeration Date | 2009-01-15 |
Last Update Date | 2009-01-15 |