Individual
CYNTHIA VIRGINIA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
(360) 571-3084
Mailing address
14913 SE MILL PLAIN BLVD APT D25, VANCOUVER, WA 98684-8241
(360) 609-7759
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DT10005386
WA
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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