Individual
MRS. GENISE LEE ALBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
(360) 517-3139
Mailing address
14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
(360) 517-3139
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
A2470
OR
126800000X
Dental Assistant
Primary
D160030008
WA
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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