Individual
MISS SARAH JEAN GEMMELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DA
Contact information
Practice address
3602 6TH AVE, 104, TACOMA, WA 98406-5450
(253) 777-4461
Mailing address
3602 6TH AVE, 104, TACOMA, WA 98406-5450
(253) 777-4461
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
D1 60254631
WA
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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