person
Gina Marie Ketola, LDO
Optician in Seattle, Washington
NPI 1588820039

Gina Marie Ketola is a Optician based in Seattle, WA and is specialized in Optician. Gina Marie Ketola practices in Seattle, WA and has the professional credentials of LDO. The NPI Number for Gina Marie Ketola is 1588820039 and holds a License No. 00001886 (Washington).

The current practice location address for Gina Marie Ketola is 6505 Roosevelt Way Ne, Seattle, WA and can be reached out via phone at 206-524-6289 and via fax at 206-524-6289.

Location: 6505 Roosevelt Way Ne, Seattle, WA, 98115-6626
person
Provider Profile Details
NPI Number
1588820039
Provider Name
Gina Marie Ketola
Credential
LDO
Provider Entity Type
Individual
Gender
Female
Address
6505 Roosevelt Way Ne, Seattle, WA, 98115-6626
Phone Number
206-524-6289
Fax Number
206-524-6289
Provider Enumeration Date
08/04/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6505 Roosevelt Way Ne
City
State
Zip
98115-6626
Phone Number
206-524-6289
Fax Number
206-524-6289
person
Provider Business Mailing Address Details
Address
6505 Roosevelt Way Ne
City
State
Zip
98115-6626
Phone Number
206-524-6289
Fax Number
206-524-6289
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
00001886 (Washington)
Definition
Definition to come...
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