Individual
SONICA NATISSIA ANSERELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1708 E 44TH ST, TACOMA, WA 98404-4611
(253) 572-7002
(253) 593-2854
Mailing address
1708 E 44TH ST, TACOMA, WA 98404-4611
(253) 572-7002
(253) 593-2854
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH60240421
WA
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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