Individual
CHARISSA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
11830 NE 128TH ST STE 1, KIRKLAND, WA 98034-7202
(425) 821-8900
Mailing address
11830 NE 128TH ST STE 1, KIRKLAND, WA 98034-7202
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60563082
WA
Other
Enumeration date
10/10/2012
Last updated
07/01/2015
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