Individual
SHANNON CHIERICHETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO, NCLE, ABO
Contact information
Practice address
20 ROBINSON RD, PORT ANGELES, WA 98362-7109
(360) 461-4035
Mailing address
20 ROBINSON RD, PORT ANGELES, WA 98362-7109
(360) 461-4035
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO60241913
WA
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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