Individual
DR. JESSIE LI-WEI LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1098 ALDER AVE, MARYSVILLE, WA 98270-4318
(360) 659-6255
(360) 653-2466
Mailing address
PO BOX 965, EVERETT, WA 98206-0965
(510) 473-7878
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
13119
CA
152W00000X
Optometrist
Primary
OD60304885
WA
Other
Enumeration date
08/01/2006
Last updated
10/11/2012
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