Individual
NIKOLE EMMA PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
509 EAST MAIN AVE, CHEWELAH, WA 99109-0808
(509) 935-6001
(509) 935-4196
Mailing address
PO BOX 808, 509 EAST MAIN AVENUE, CHEWELAH, WA 99109-0808
(509) 935-6001
(509) 935-4196
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HL00008009
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902473
—
WA
Enumeration date
06/02/2008
Last updated
06/02/2008
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