Individual
DR. LINDA ANN MAXEY-WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1940 BLACK LAKE BLVD SW, OLYMPIA, WA 98512-5651
(360) 570-1780
(360) 570-1801
Mailing address
1940 BLACK LAKE BLVD SW, OLYMPIA, WA 98512-5651
(360) 570-1780
(360) 570-1801
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD0002094
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2030542
—
WA
Enumeration date
11/28/2006
Last updated
01/11/2010
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