Individual
MRS. DEVI CARSON JORGENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
401 1ST NE, FOR EYEZ & STYLE, AUBURN, WA 98002-5042
(206) 930-2686
Mailing address
15705 SE 178TH PL, RENTON, WA 98058
(206) 930-2686
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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