Individual
NICOLE ANDREA HECKENLAIBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENE
Contact information
Practice address
560 QUILEUTE HEIGHTS, QUILEUTE HEALTH CENTER, LA PUSH, WA 98350
(360) 374-6984
(360) 374-9049
Mailing address
PO BOX 189, LA PUSH, WA 98350
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00007007
WA
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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