Individual
SIPPARA METIKU BIRRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19705 VIKING AVE NW STE 201, POULSBO, WA 98370-8351
(360) 616-3138
Mailing address
20822 76TH AVE W APT 17, EDMONDS, WA 98026-7116
(206) 643-7137
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
61119623
WA
Other
Enumeration date
08/27/2021
Last updated
09/01/2021
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