Individual
DR. STEFANIE CLENDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
9720 4TH AVE NE, SEATTLE, WA 98115-2143
(206) 527-7132
Mailing address
9720 4TH AVE NE, SEATTLE, WA 98115-2143
(206) 302-1200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD61058381
WA
Other
Enumeration date
06/18/2020
Last updated
03/31/2021
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