Individual
RENEE MCQUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.A
Contact information
Practice address
12711 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6053
(360) 896-4484
Mailing address
15613 NE 92ND ST, VANCOUVER, WA 98682-1506
(503) 407-4633
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
D160052682
OR
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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