Individual
DR. MARK ALLEN MARAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2517 NE KRESKY AVE, CHEHALIS, WA 98532-2409
(360) 748-8632
(360) 748-3869
Mailing address
PO BOX 1506, CHEHALIS, WA 98532-0409
(360) 242-4610
(360) 807-7687
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00004142
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1091820
—
WA
Enumeration date
07/05/2007
Last updated
07/18/2022
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