Individual
MS. CAMILLE FIONA ALICIA AIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
19 LAKES STREET, NESPELEM, WA 99155
(509) 364-2920
Mailing address
P.O BOX 71, NESPELEM, WA 99155
(509) 634-2920
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH 19130
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5400189
—
WA
05
—
5400197
—
WA
Enumeration date
03/08/2012
Last updated
03/08/2012
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