Individual
DANIEL ADRIAN BAZUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-0198
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-2252
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9560001-9934
UT
Other
Enumeration date
10/08/2015
Last updated
07/01/2021
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