Individual
MRS. DIANA KIM THOMPSON YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
128 E WASHINGTON, SEQUIM, WA 98382
(360) 683-3389
(360) 683-7069
Mailing address
PO BOX 549, SEQUIM, WA 98382-0549
(360) 683-3389
(360) 683-7069
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00003537
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133203
LABOR & INDUSTRIES
WA
05
—
2023174
—
WA
Enumeration date
11/01/2006
Last updated
07/08/2007
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