Individual
TAYLEE JEAN BREVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8018 178TH ST NW, STANWOOD, WA 98292-6746
(360) 502-5486
Mailing address
3227 256TH ST NW, STANWOOD, WA 98292-9265
(360) 502-5486
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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