DR. Jaclyn T Phan, O.D.

NPI #1114078235 in Bothell, Washington

Provider Information

NPI Number
1114078235
Entity Type
Individual
Name
DR. Jaclyn T Phan, O.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist - Corneal and Contact Management
Credential
O.D.
Enumeration Date
Jan 16, 2007
Last Updated
Nov 23, 2007

Practice Location

Address
1912 201ST PL SE
Address 2
SUITE 204
ZIP Code
98012-8570
Phone
(425) 485-6812

Specialties & Taxonomy Codes

Specialty
Optometrist - Corneal and Contact ManagementCorneal and Contact Management

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