Individual
VY TRUC HA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1101 MADISON ST STE 600, SEATTLE, WA 98104-1340
(206) 215-2020
Mailing address
145 S HEARTWOOD WAY, ANAHEIM, CA 92801-5151
(714) 603-8620
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
61184338
WA
Other
Enumeration date
04/24/2020
Last updated
03/05/2025
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