Individual
SUSAN ELIZABETH RICHMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10510 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-5036
(253) 589-7033
(253) 589-7033
Mailing address
10510 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-5036
(253) 589-7033
(253) 589-7033
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH 00005991
WA
Other
Enumeration date
05/09/2014
Last updated
12/27/2019
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