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Individual

KAYLEE ZIELINSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
205 N BERKLEY ST, COUNCIL, ID 83612-5015
(208) 253-6447
Mailing address
2103P NORTH DIVISION ST, JOINT BASE LEWIS MCCHORD, WA 98433

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
DH0000008318
TN
124Q00000X
Dental Hygienist
Primary
DH3517
ID

Other

Enumeration date
09/01/2016
Last updated
03/28/2018
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