John L Bratlie, OPTICIAN
NPI #1033356035 in Omak, Washington
Provider Information
- NPI Number
- 1033356035
- Entity Type
- Individual
- Name
- John L Bratlie, OPTICIAN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- OPTICIAN
- Enumeration Date
- Jan 13, 2009
- Last Updated
- Mar 23, 2012
Practice Location
- Address
- 916 KOALA AVE
- City
- Omak
- State
- Washington
- ZIP Code
- 98841-9576
- Phone
- (509) 826-1800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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