Individual
THERESA ANN LOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2112 W RIVERSIDE AVE APT 3, SPOKANE, WA 99201-1431
(509) 954-5809
Mailing address
2112 W RIVERSIDE AVE APT 3, SPOKANE, WA 99201-1431
(509) 954-5809
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH60494182
WA
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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