Individual
JESSICA LYNN MAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
77 WAINWRIGHT DR, WALLA WALLA, WA 99362-3975
(509) 525-5200
Mailing address
13111 ROBERTA PL, GARDEN GROVE, CA 92843-2143
(714) 638-7740
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14905
CA
Other
Enumeration date
06/05/2014
Last updated
09/30/2015
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