Individual
JASDEEP SIDHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60109766
WA
Other
Enumeration date
11/24/2009
Last updated
03/15/2024
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