Individual
CLARISSA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
140 E MAIN ST, OTHELLO, WA 99344-1040
(509) 488-5256
(509) 488-9939
Mailing address
140 E MAIN ST, OTHELLO, WA 99344-1040
(509) 488-5256
(509) 488-9939
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH60386410
WA
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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