Individual
STACY CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
795 N 5TH AVE, SEQUIM, WA 98382-3080
(626) 885-0925
Mailing address
795 N 5TH AVE, SEQUIM, WA 98382-3080
(626) 885-0925
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
STUDENT
WA
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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