Individual
DR. MAUREEN SUSAN FAHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
8503 W CLEARWATER AVE, STE A, KENNEWICK, WA 99336-3100
(509) 735-2050
(509) 735-2288
Mailing address
8503 W CLEARWATER AVE, STE A, KENNEWICK, WA 99336-3100
(509) 735-2050
(509) 735-2288
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
WA00003148
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2032142
—
WA
01
—
U43761
UPIN
WA
Enumeration date
12/20/2007
Last updated
07/22/2013
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