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Organization

TERESA A E WILLS OD

Active
Other names
Teresa A Erickson OD
Organization subpart
No

Provider details

NPI number
Authorized official
TERESA A ERICKSON OD (OWNER)
(253) 927-5252
Entity
Organization

Contact information

Practice address
900 MERIDIAN AVE E STE 18, MILTON, WA 98354-7003
(253) 927-5252
(253) 927-4270
Mailing address
900 MERIDIAN AVE E STE 18, MILTON, WA 98354-7003
(253) 927-5252
(253) 927-4270

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00003106
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2022119
WA
Enumeration date
11/22/2006
Last updated
10/22/2007
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