Individual
JACKIE RAE KUNKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
8712 ONE HALF E MARINGO DR, SPOKANE, WA 99212-1822
(509) 535-8760
(509) 325-3919
Mailing address
8712 ONE HALF E MARINGO DR, SPOKANE, WA 99212-1822
(509) 535-8760
(509) 535-8760
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900014
—
WA
Enumeration date
09/18/2007
Last updated
09/18/2007
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