Individual
DR. JACLYN T PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1912 201ST PL SE, SUITE 204, BOTHELL, WA 98012-8570
(425) 485-6812
Mailing address
1912 201ST PL SE, SUITE 204, BOTHELL, WA 98012-8570
(425) 485-6812
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
3357
WA
Other
Enumeration date
01/16/2007
Last updated
11/23/2007
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