Individual
MAHSA MANA EMAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2448 76TH AVE SE STE 106, MERCER ISLAND, WA 98040-2782
(206) 232-1633
(206) 232-2502
Mailing address
7715 143RD AVE SE, NEWCASTLE, WA 98059-3261
(206) 498-9697
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
60938554
WA
Other
Enumeration date
02/28/2019
Last updated
10/27/2023
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