Individual
MRS. SUZANNE ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 MARTIN ST, BLAINE, WA 98230-4108
(360) 332-9534
Mailing address
310 MARTIN ST, BLAINE, WA 98230-4108
(360) 332-9534
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
IL60582239
WA
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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