Individual
JESSICA SI-DIH LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
700 LILLY RD NE, OLYMPIA, WA 98506-5196
(360) 923-7650
Mailing address
700 LILLY RD NE, OLYMPIA, WA 98506-5196
(360) 923-7650
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1807-741AT
LA
152W00000X
Optometrist
Primary
OD60465096
WA
Other
Enumeration date
07/07/2014
Last updated
04/28/2021
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