Individual
RUPAM JOSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19005 SE 34TH ST, VANCOUVER, WA 98683-1450
(360) 726-6720
Mailing address
16911 NE 78TH WAY, VANCOUVER, WA 98682-1554
(201) 245-3561
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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