Individual
DR. MARISA K. MONTEROLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
133 N 85TH ST, SEATTLE, WA 98103-3601
(206) 783-2050
Mailing address
23356 NE 25TH WAY, SAMMAMISH, WA 98074-8937
(425) 868-3541
(425) 868-3541
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3028TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2028165
—
WA
Enumeration date
12/20/2006
Last updated
07/08/2007
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