Individual
MRS. JENNIFER FICCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
910 NE TENNEY RD, SUITE 117, VANCOUVER, WA 98685-2837
(360) 695-1515
Mailing address
3505 NW 132ND CIR, VANCOUVER, WA 98685-1607
(360) 624-7729
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
00004393
WA
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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