Individual
MRS. LEENA A. JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
10605 SE 240TH ST, # 345, KENT, WA 98031-4903
(206) 963-7936
(253) 277-2538
Mailing address
10605 SE 240TH ST, # 345, KENT, WA 98031-4903
(206) 963-7936
(253) 277-2538
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH 00005160
WA
Other
Enumeration date
11/15/2011
Last updated
01/09/2013
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