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Individual

CRYSTAL SIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
1705 S 324TH PL, FEDERAL WAY, WA 98003-8504
(253) 661-6005
Mailing address
1705 S 324TH PL, FEDERAL WAY, WA 98003-8504
(253) 661-6005

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD61491957
WA

Other

Enumeration date
10/24/2023
Last updated
10/24/2023
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