Individual
NATHAN JAMES BIANCARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
26 W H ST, DEER PARK, WA 99006-7167
(509) 276-6932
Mailing address
26 W H ST, DEER PARK, WA 99006-7167
(509) 276-6932
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60964013
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2135284
—
WA
Enumeration date
05/24/2019
Last updated
06/20/2022
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