Individual
DR. VALERIE K ITAMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
00001507
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0199298
DEPT. OF LABOR AND IND.
WA
01
—
024356004
REGENCE
WA
05
—
2018158
—
WA
01
—
212737
EYE MED
WA
01
—
410016645
RR MEDICARE
WA
Enumeration date
10/20/2006
Last updated
01/22/2013
Update your record
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