Individual
MRS. ALEXANDRIA MAE EGUSQUIZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
626 S. 2ND AVE., OKANOGAN, WA 98840
(509) 422-6705
Mailing address
PO BOX 1340, OKANOGAN, WA 98840-1340
(509) 422-6705
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00008030
WA
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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