Individual
MARK POTOMAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2520 JAMES ST, BELLINGHAM, WA 98225-3545
(360) 393-4000
Mailing address
7768 258TH ST, ALDERGROVE, BC V4W1V-4
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
60763417
WA
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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