Individual
MRS. STACY LEE REUNANEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3815 S 198TH ST, SEATAC, WA 98188-5450
(206) 870-9128
Mailing address
3815 S 198TH ST, SEATAC, WA 98188-5450
(206) 870-9128
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00004007
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902077
—
WA
Enumeration date
08/12/2007
Last updated
08/12/2007
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