Individual
DR. JEZZARAE ROSE HEDLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
521 W GARLAND AVE, SPOKANE, WA 99205-2954
(509) 327-9505
(509) 325-3277
Mailing address
521 W GARLAND AVE, SPOKANE, WA 99205-2954
(509) 327-9505
(509) 325-3277
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60297939
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2044675
—
WA
01
—
G8925180
MEDICARE PTAN
WA
Enumeration date
07/16/2012
Last updated
03/01/2016
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