Individual
MRS. JANA MICHELLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
911 11TH AVE, SUITE A, LONGVIEW, WA 98632-2547
(360) 423-4020
Mailing address
1423 PRIES CT, KELSO, WA 98626-5248
(360) 575-1261
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00007895
WA
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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