Individual
JESSICA MARIE MELLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4970 AUTO CENTER WAY, BREMERTON, WA 98312-3328
(206) 745-3808
Mailing address
PO BOX 46, KEYPORT, WA 98345-0046
(206) 745-3808
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
60175232
WA
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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