Individual
DR. BRIAN CHRISTOPHER JACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7903 W GRANDRIDGE BLVD STE A, KENNEWICK, WA 99336-7827
(509) 783-0667
(509) 735-7981
Mailing address
7903 W GRANDRIDGE BLVD STE A, KENNEWICK, WA 99336-7827
(509) 783-0667
(509) 735-7981
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
60097178
WA
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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