Tricia Phan Od LLC

NPI #1255611034 in Tacoma, Washington

Provider Information

NPI Number
1255611034
Entity Type
Organization
Organization Name
Tricia Phan Od LLC
Primary Specialty
Optometrist
Enumeration Date
Aug 24, 2011
Last Updated
Aug 24, 2011

Practice Location

Address
4051 TACOMA MALL BLVD
City
Tacoma
ZIP Code
98409-7287
Phone
(253) 476-2874

Authorized Official

Name
TRICIA PHAN
Title
OWNER
Phone
(253) 476-2874

Specialties & Taxonomy Codes

Specialty
Optometrist

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