Individual
MIRIAM M PEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
521 E MOUNTAIN VIEW AVE, ELLENSBURG, WA 98926-3865
(509) 933-2400
(509) 933-4804
Mailing address
501 S 5TH AVE, YAKIMA, WA 98902-3550
(509) 494-6700
(509) 573-6275
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH60022559
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2135179
—
WA
Enumeration date
06/12/2019
Last updated
09/10/2019
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