Individual
DR. GELEA NICHOLE ICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9720 4TH AVE NE, SEATTLE, WA 98115-2143
(206) 527-7132
Mailing address
9720 4TH AVE NE, SEATTLE, WA 98115-2143
(206) 527-7132
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
664
SD
Other
Enumeration date
07/23/2009
Last updated
04/19/2021
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