Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | 1825 | WA |
NPI | 1134331598 |
---|---|
Provider Name | Nancy R Muse |
First Address | Tacoma, WA 98403-3320 |
Second Address | Tacoma, WA 98403-3320 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2007 |
Last Update Date | 08/07/2007 |