Doris Jin
Optometrist in Lacey, WA. Individual provider (NPI-1).
NPI number1891362844
StatusActive
Last updated in NPPESJun 8, 2021
Details
- NPI
- 1891362844
- Entity type
- Individual (NPI-1)
- Name
- Doris Jin
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2021
- Certification date
- Jun 8, 2021
- Last updated
- Jun 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OD61178912 | WA | Yes |
Practice location
1350 Galaxy Dr Ne Ste DLacey, WA 98516-4757
Phone 360-918-0449
Mailing address
1350 Galaxy Dr Ne Ste DLacey, WA 98516-4757
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