Individual
MRS. RONDA MECHELLE PUGACZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12621 164TH ST E, PUYALLUP, WA 98374-9523
(253) 445-6782
Mailing address
12621 164TH ST E, PUYALLUP, WA 98374-9523
(253) 445-6782
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
WA
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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