Individual
MISS TRICIA PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4051 TACOMA MALL BLVD, TACOMA, WA 98409-7287
(253) 473-6427
(253) 473-9165
Mailing address
4051 TACOMA MALL BLVD, TACOMA, WA 98409-7287
(253) 473-6427
(253) 473-9165
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
12852 TPL
CA
152W00000X
Optometrist
Primary
OD60176880
WA
Other
Enumeration date
09/07/2006
Last updated
12/10/2010
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