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Individual

PHYLLIS NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
1202 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-3926
(253) 597-3813
(253) 597-3815
Mailing address
1019 PACIFIC AVENUE. STE 300, COMMUNITY HEALTH CARE, TACOMA, WA 98402
(253) 722-1540
(253) 722-1546

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00006664
WA

Other

Enumeration date
11/08/2013
Last updated
02/27/2014
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