Individual
MICHELLE GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1412 NE 88TH ST, VANCOUVER, WA 98665-9620
(360) 574-4074
(360) 574-9237
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HL60419158
WA
Other
Enumeration date
07/10/2014
Last updated
04/04/2025
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