Individual
DR. AVA MINEKO NAKAMOTO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
32717 1ST AVE S, SUITE 6, FEDERAL WAY, WA 98003-5758
(253) 838-5428
(253) 838-0875
Mailing address
171 S 293RD ST, FEDERAL WAY, WA 98003-3694
(253) 946-4850
(253) 838-0875
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00001560
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2027662
—
WA
Enumeration date
11/25/2005
Last updated
07/08/2007
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