Individual
MRS. TINA RENAE MCCAFFRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
8828 JAYDEN LN NE, LACEY, WA 98516-8200
(706) 615-6670
Mailing address
8828 JAYDEN LN NE, LACEY, WA 98516-8200
(706) 615-6670
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
10829
SC
124Q00000X
Dental Hygienist
Primary
7892
GA
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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