Individual
ZACHARY ROBERT COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 QUEEN ANNE AVE N # 506, SEATTLE, WA 98109-4513
(206) 402-1711
Mailing address
301 QUEEN ANNE AVE N # 506, SEATTLE, WA 98109-4513
(206) 402-1711
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
47-1436579
WA
Other
Enumeration date
05/15/2019
Last updated
06/11/2019
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