Individual
KALEY JO OBRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
39 SHORTCUT RD, INCHELIUM, WA 99138
(509) 722-7686
Mailing address
PO BOX 290, INCHELIUM, WA 99138-0290
(509) 722-7686
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH60805668
WA
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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