Individual
MRS. CARRIE JO CROSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
509 E MAIN AVE, CHEWELAH, WA 99109-8964
(509) 935-6001
Mailing address
509 E MAIN AVE, CHEWELAH, WA 99109-8964
(509) 935-6001
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH60675128
WA
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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