Individual
HEATHER D BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3602 6TH AVE, SUITE 104, TACOMA, WA 98406-5450
(253) 905-3853
Mailing address
1125 N MERIDIAN, APT H-11, PUYALLUP, WA 98371-4429
(253) 905-3853
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
D160177204
WA
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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