MRS. Idaayu Ratih Jenisch, OD

NPI #1437483716 in Auburn, Washington

Provider Information

NPI Number: 1437483716
Entity Type: Individual
Name: MRS. Idaayu Ratih Jenisch, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Sep 19, 2009
Last Updated: Mar 3, 2011

Practice Location

Address: 5101 S 283RD PL
City: Auburn
State: Washington
ZIP Code: 98001-1927
Phone: (253) 520-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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