Organization
TRICIA PHAN OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA PHAN (OWNER)
(253) 476-2874
Entity
Organization
Contact information
Practice address
4051 TACOMA MALL BLVD, TACOMA, WA 98409-7287
(253) 476-2874
Mailing address
4051 TACOMA MALL BLVD, TACOMA, WA 98409-7287
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60176880
WA
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
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