Individual
MS. GUOFANG FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
221 SAINT ANDREWS PL, YAKIMA, WA 98908-9317
(509) 972-1613
Mailing address
221 SAINT ANDREWS PL, YAKIMA, WA 98908-9317
(509) 972-1613
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00007046
WA
Other
Enumeration date
07/09/2009
Last updated
07/09/2009
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