Individual
MANRAJ SIDHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9606 271ST ST NW, STANWOOD, WA 98292-8096
(360) 939-0604
Mailing address
9606 271ST ST NW, STANWOOD, WA 98292-8096
(360) 939-0604
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD.OD.70031275
WA
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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