Jessica Hansen

NPI #1467092395 in Mill Creek, Washington

Provider Information

NPI Number: 1467092395
Entity Type: Individual
Name: Jessica Hansen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Enumeration Date: Jan 8, 2020
Last Updated: Jan 9, 2020

Practice Location

Address: 1025 153RD ST SE STE 104
City: Mill Creek
State: Washington
ZIP Code: 98012-4051
Phone: (206) 755-1403

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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