Individual
MICHELLE DARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23505 E APPLEWAY AVE STE 106, LIBERTY LAKE, WA 99019-6003
(509) 210-0303
(509) 242-3180
Mailing address
23505 E APPLEWAY AVE STE 106, LIBERTY LAKE, WA 99019-6003
(509) 210-0303
(509) 242-3180
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60658528
WA
152W00000X
Optometrist
ODP - 100362
ID
152W00000X
Optometrist
OPT-OPT-LIC-2788
MT
Other
Enumeration date
04/29/2016
Last updated
03/06/2018
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