Individual
CARRIE NUNNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
12871 PROWELL ST, LEAVENWORTH, WA 98826-9019
(425) 359-1857
Mailing address
12871 PROWELL ST, LEAVENWORTH, WA 98826-9019
(425) 359-1857
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00006434
WA
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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