Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | DO00002179 | WA |
NPI | 1093825986 |
---|---|
Provider Name | Jamie Lynn Turner |
First Address | Vancouver, WA 98682-7236 |
Second Address | Vancouver, WA 98686-1448 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 08/07/2007 |