Individual
DR. MARIELLE KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
13414 E SPRAGUE AVE, SPOKANE VALLEY, WA 99216-0848
(509) 924-2015
(509) 921-9373
Mailing address
1215 N KING JAMES LN, LIBERTY LAKE, WA 99019-9454
(509) 927-8784
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3208
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2005056
—
WA
Enumeration date
06/06/2006
Last updated
07/08/2007
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