Individual
KATIE KITZES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23308 SE 293RD PL, BLACK DIAMOND, WA 98010-1218
(206) 427-4706
Mailing address
23308 SE 293RD PL, BLACK DIAMOND, WA 98010-1218
(206) 427-4706
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
03/06/2021
Last updated
03/06/2021
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