Individual
SHANNON MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
JBLM, BUILDING 9119 MIL PARK AVE., TACOMA, WA 98431-0001
(253) 966-9960
Mailing address
JBLM, BUILDING 9119 MIL PARK AVE., TACOMA, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2699
KY
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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