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Individual
MRS. RACHEL CRITES
Active
Individual
MRS. RACHEL CRITES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.D.O.
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO60136514
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47-4188629
TAX ID
WA
01
—
603510963
UBI
WA
Enumeration date
02/16/2016
Last updated
02/16/2016
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