Individual
DR. EDWIN G AMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 10TH AVE NW, ISSAQUAH, WA 98027-5384
(425) 369-6726
Mailing address
1801 10TH AVE NW, ISSAQUAH, WA 98027-5384
(425) 369-6726
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1804T
WA
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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