Individual
MRS. VICKI GAE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
221 WINSLOW WAY W STE 302, BAINBRIDGE ISLAND, WA 98110-4917
(206) 909-1365
Mailing address
24105 184TH AVE SE, COVINGTON, WA 98042-4896
(425) 433-6221
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00001057
WA
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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