Individual
PAMELA JERNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
9040A JACKSON AVE, JBLM, WA 98431
(253) 968-1240
Mailing address
9040A JACKSON AVE, JBLM, WA 98431
(250) 968-1240
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH013742L
PA
Other
Enumeration date
10/25/2023
Last updated
09/27/2024
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