Individual
KIRSTEN MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1705 S 324TH PL, FEDERAL WAY, WA 98003-8504
(253) 661-6005
Mailing address
1705 S 324TH PL, FEDERAL WAY, WA 98003-8504
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD61184043
WA
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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