Individual
JASMINE STEPHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4051 TACOMA MALL BLVD, TACOMA, WA 98409-7287
(253) 245-6314
Mailing address
1011 BACHTEL ST SE, NORTH CANTON, OH 44720-3209
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD61434116
WA
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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