Individual
MILDA BANDZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
60476967
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OD60476967
STATE LICENSE
WA
Enumeration date
07/18/2014
Last updated
11/06/2025
Update your record
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