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Individual

KATHERINE MARY RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.D.O.

Contact information

Practice address
351 ORONDO AVE, WENATCHEE, WA 98801-2826
(509) 662-4747
(509) 663-5338
Mailing address
351 ORONDO AVE, WENATCHEE, WA 98801-2826
(509) 662-4747
(509) 663-5338

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO 00000833
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000288
WA
Enumeration date
03/13/2015
Last updated
03/13/2015
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