Individual
VANESSA G MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3908
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0213556
LABOR & INDUSTRIES
WA
05
—
2029585
—
WA
01
—
DF8532
RAILROAD MEDICARE GROUP
WA
01
—
P00397181
RAILROAD MEDICARE INDIVIDUAL
WA
Enumeration date
08/20/2006
Last updated
01/17/2017
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