Individual
DR. WILLETTE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
196A MAIN ST, STONEHAM, MA 02180-1619
(781) 438-0290
Mailing address
5 PINE ST, APT B, BOSTON, MA 02111-1424
(617) 306-1703
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4610
MA
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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