Individual
DR. JESSICA CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2734 54TH AVE NE, TACOMA, WA 98422-3212
(503) 803-6943
Mailing address
2734 54TH AVE NE, TACOMA, WA 98422-3212
(503) 803-6943
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00004092
WA
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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