Individual
DR. JEANNE Y CUBANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3915 TALBOT RD S, STE 100, RENTON, WA 98055
(425) 690-3415
(425) 690-9003
Mailing address
3600 LIND AVE SW STE 100, RENTON, WA 98057-4970
(425) 690-2715
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD60390359
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2031268
—
WA
01
—
G8924153
MEDICARE PTAN
WA
Enumeration date
01/11/2007
Last updated
08/19/2021
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