Individual
MERCEDES MMN VALDIVIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
NORTH DIVISION ST BLDG 2103P, TACOMA, WA 98431-0001
(253) 967-3416
Mailing address
NORTH DIVISION ST BLDG 2103P, TACOMA, WA 98431-0001
(253) 967-3416
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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