Individual
MS. AUDREY IRENE HERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2006 N WASHINGTON ST, LONG BEACH, WA 98631-0152
(360) 244-5850
Mailing address
PO BOX 152, LONG BEACH, WA 98631-0152
(360) 244-5850
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH60172854
WA
Other
Enumeration date
02/04/2011
Last updated
02/04/2011
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