Individual
LATOYA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
134 188TH ST S, SPANAWAY, WA 98387-4618
(253) 722-2161
Mailing address
1148 BROADWAY STE 100, TACOMA, WA 98402-3518
(253) 597-4550
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH61162298
WA
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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