Individual
HAILEE KOVALENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30305 44TH AVE NW, STANWOOD, WA 98292-9605
(360) 255-9824
Mailing address
30305 44TH AVE NW, STANWOOD, WA 98292-9605
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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