Individual
MS. NICOLE MICHELLE NOONAN-UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EFDA
Contact information
Practice address
12711 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6053
(360) 896-4484
Mailing address
1910 SE 6TH AVE, CAMAS, WA 98607-2204
(360) 834-0316
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
113960
OR
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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