Individual
MR. JAY BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1109 W SPRUCE ST, YAKIMA, WA 98902
(509) 952-8311
Mailing address
1109 W SPRUCE ST, YAKIMA, WA 98902-3209
(509) 952-8311
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
DO 00000569
WA
156FX1800X
Optician
DO 00000569
WA
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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