Individual
EMAN ALMUTAIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3240 WILLAMETTE DR NE UNIT 102, LACEY, WA 98516-1443
(352) 888-3734
Mailing address
3240 WILLAMETTE DR NE UNIT 102, LACEY, WA 98516-1443
(352) 888-3734
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DE61560616
WA
Other
Enumeration date
10/08/2024
Last updated
10/09/2024
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