Individual
DR. MARY ELLEN QUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2519 NE KENSINGTON CT, ISSAQUAH, WA 98029-3658
(901) 277-8349
Mailing address
2519 NE KENSINGTON CT, ISSAQUAH, WA 98029-3658
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
60096396
WA
152W00000X
Optometrist
707
HI
Other
Enumeration date
04/20/2009
Last updated
09/16/2009
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