Individual
MS. JEANNE DYER TUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EFDA
Contact information
Practice address
14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
(360) 571-3139
Mailing address
14406 NE 20TH AVENUE, VANCOUVER, WA 98686
(360) 571-3139
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
11/16/2007
Last updated
11/16/2007
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