Individual
YVONNE MONIQUE BAKKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
921 121ST ST E, TACOMA, WA 98445-3035
(253) 617-3502
Mailing address
921 121ST ST E, TACOMA, WA 98445-3035
(253) 617-3502
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN60041191
WA
Other
Enumeration date
11/07/2008
Last updated
11/07/2008
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