Individual
JASIAH TOOK RUBY-SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDA
Contact information
Practice address
8050 FREEDOM LN NE STE C, LACEY, WA 98516-4761
(360) 464-4597
Mailing address
1801 EVERGREEN PARK CT SW APT 23, OLYMPIA, WA 98502-5859
(206) 434-0877
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
264321
WA
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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