Individual
VANESSA VICTORIA GREGORIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
12728 19TH AVE SE # 102, EVERETT, WA 98208-6526
(425) 353-5544
Mailing address
12728 19TH AVE SE # 102, EVERETT, WA 98208-6526
(425) 353-5544
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD61072477
WA
Other
Enumeration date
05/06/2020
Last updated
09/08/2021
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