Individual
ALINA SAMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
11411 NE 124TH ST STE 118, KIRKLAND, WA 98034-4341
(425) 820-2143
Mailing address
11411 NE 124TH ST STE 118, KIRKLAND, WA 98034-4341
(425) 820-2143
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
OD61270747
WA
Other
Enumeration date
06/23/2021
Last updated
08/07/2022
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