Individual
MADELANE ELIZABETH MASTRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
(360) 571-3084
Mailing address
14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
(360) 571-3084
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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