Individual
GLENNA MESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 LILLY RD NE STE 110, OLYMPIA, WA 98506-5101
(206) 548-5850
Mailing address
1200 12TH AVE S STE 901, SEATTLE, WA 98144-2712
(206) 548-3114
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00004516
WA
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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