Individual
MRS. AMANDA KAY OLMSTED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
475 LAKE AVE, WOODLAND, WA 98674-9533
(360) 225-7399
Mailing address
475 LAKE AVE, WOODLAND, WA 98674-9533
(360) 225-7399
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
OR
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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