Individual
DR. TU BANH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1705 S 324TH PL, FEDERAL WAY, WA 98003-8504
(253) 661-6005
Mailing address
1705 S 324TH PL, FEDERAL WAY, WA 98003-8504
(253) 661-6005
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
795
NV
152WP0200X
Pediatric Optometrist
Primary
60367918
WA
152WV0400X
Vision Therapy Optometrist
60367918
WA
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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