Individual
ANDREA MARIE CLEMENTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
8629 120TH AVE NE, KIRKLAND, WA 98033-5822
(425) 889-0670
Mailing address
10828 NE 64TH ST, KIRKLAND, WA 98033-7232
(812) 345-9856
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60026851
WA
Other
Enumeration date
07/11/2008
Last updated
07/01/2009
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