Individual
CANDRA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8101 83RD AVE SW APT D33, LAKEWOOD, WA 98498-7602
(253) 967-4114
Mailing address
8101 83RD AVE SW APT D33, LAKEWOOD, WA 98498-7602
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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