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Individual

MR. RIKK JEREMY SCHLAFFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1703 S MERIDIAN STE 101, PUYALLUP, WA 98371-7590
(253) 848-3000
(253) 840-6514
Mailing address
1703 S MERIDIAN STE 101, PUYALLUP, WA 98371-7590
(253) 848-3000
(253) 840-6514

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
BL0500877
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0337210001
DMERC PROVIDER NUMBER
WA
05
2105807
WA
01
SC7561
REGENCE PROVIDER NUMBER
WA
Enumeration date
09/20/2006
Last updated
05/15/2012
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