Individual
GINA MARIE DEMMERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
4854 RAINIER AVE S, SEATTLE, WA 98118-1742
(206) 722-3939
Mailing address
1125 E OLIVE ST APT 103, SEATTLE, WA 98122-8406
(206) 658-3786
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO60240657
WA
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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