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Individual

RHONDA SWANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00003830
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0156SW
ASURIS(REGENCE NW HEALTH)
WA
01
0185489
LABOR AND INDUSTRIES
WA
05
2029221
WA
01
28261
GROUP HEALTH
WA
01
A032
TRICARE
WA
01
WA0690
NORTHWEST BENEFIT NETWORK
WA
Enumeration date
07/14/2005
Last updated
02/11/2016
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