Individual
DR. JENNIFER WEAVER-FARNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
401 SW 153RD ST, SUITE A, BURIEN, WA 98166-2247
(206) 244-1780
(206) 433-4060
Mailing address
401 SW 153RD ST, SUITE A, BURIEN, WA 98166-2247
(206) 244-1780
(206) 433-4060
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1753 TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2023422
—
WA
Enumeration date
09/14/2006
Last updated
08/27/2012
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