Individual
VICKI LEE GIACOMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7520 TOTEM BEACH RD, TULALIP, WA 98271-6160
(360) 716-4511
Mailing address
7520 TOTEM BEACH RD, TULALIP, WA 98271-6160
(360) 716-4511
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
60897967
WA
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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