Individual
DANE TOSLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5321 CORPORATE CENTER LOOP SE, LACEY, WA 98503-5559
(360) 459-2108
Mailing address
5321 CORPORATE CENTER LOOP SE, LACEY, WA 98503-5559
(360) 459-2108
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
61319435
WA
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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