Individual
DONNA MARIE JESSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1230 7TH AVE, LONGVIEW, WA 98632-3166
(360) 575-4801
Mailing address
3905 PENNSYLVANIA ST, SUITE 59, LONGVIEW, WA 98632-5258
(360) 636-4543
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00005229
WA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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