Individual
DR. JEMIMAH MIRANDA CORPUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3324 RAINIER AVE S, SEATTLE, WA 98144-6034
(661) 428-6172
Mailing address
3324 RAINIER AVE S, SEATTLE, WA 98144-6034
(661) 428-6172
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
60709319
WA
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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