Individual
MS. JULIE ANN DRAPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EFDA
Contact information
Practice address
12711 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6053
(360) 896-4484
Mailing address
12711 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6053
(360) 999-9999
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
A30239
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12800000X
TAXONOMY CODE
WA
01
—
3291833
EMPLOYEE NUMBER
WA
01
—
618
PTDA PROVIDER
WA
Enumeration date
09/03/2006
Last updated
07/18/2007
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