Individual
MRS. YVONNE D. BLAKE-MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
1901 E 65TH ST, TACOMA, WA 98404-4212
(253) 973-2141
Mailing address
1901 E 65TH ST, TACOMA, WA 98404-4212
(253) 973-2141
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00004141
WA
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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