Individual
MISS ADENA SUEN MANGKORNKEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
14827 80TH AVE SE, SNOHOMISH, WA 98296-8407
(206) 715-5504
Mailing address
14827 80TH AVE SE, SNOHOMISH, WA 98296-8407
(206) 715-5504
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
WA
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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