Individual
JENNIFER AN-JENG JUANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4538 KLAHANIE DR SE, ISSAQUAH, WA 98029-5812
(425) 392-9982
(815) 301-5473
Mailing address
PO BOX 1834, ISSAQUAH, WA 98027-0075
(206) 251-3831
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3486
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JU1418
REGENCE BLUE SHIELD
WA
Enumeration date
02/12/2007
Last updated
02/03/2012
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