Individual
JAYCIE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
605 S COOLIDGE ST, MOSES LAKE, WA 98837-1893
(509) 765-0674
Mailing address
605 S COOLIDGE ST, MOSES LAKE, WA 98837-1893
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH 60488896
WA
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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