Individual
MELCHORA BONILLA BARAYUGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
MADIGAN ANNEX 2ND FLOOR BLDG 9900, TACOMA, WA 98431-0001
(253) 967-1213
(253) 967-7216
Mailing address
MADIGAN ANNEX 2ND FLOOR BLDG 9900, TACOMA, WA 98431-0001
(253) 967-1213
(253) 967-7216
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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