Individual
SHANI ELIZA RERECICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1600 E. JEFFERSON ST, STE #202, SEATTLE, WA 98122-1737
(425) 320-2630
Mailing address
5021 RIPLEY LANE N, #302, RENTON, WA 98056-1576
(425) 273-4368
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60291669
WA
Other
Enumeration date
08/15/2012
Last updated
07/30/2014
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