Individual
KIMBERLY PANDIANGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
6923 COAL CREEK PKWY SE, NEWCASTLE, WA 98059-3136
(425) 641-2500
Mailing address
6923 COAL CREEK PKWY SE, NEWCASTLE, WA 98059-3136
(425) 641-2500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD.OD.60861434
WA
Other
Enumeration date
05/31/2018
Last updated
05/14/2019
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