Individual
MS. MERRY Y GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
1101A BOYLSTON AVE, SEATTLE, WA 98101-2818
(206) 324-2005
(206) 325-0209
Mailing address
1101A BOYLSTON AVE, SEATTLE, WA 98101-2818
(206) 324-2005
(206) 325-0209
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
551
WA
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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