Individual
HUONG LE FEARINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3435
OR
152W00000X
Optometrist
Primary
OD00004118
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2160216
—
WA
Enumeration date
05/16/2012
Last updated
10/14/2020
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