LANA MAY COPPERNOLL

CAMAS, WA
NPI1013022235
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy126800000X Dental Assistant
(Licence: WA  126800000X)
Enumeration Date2006-08-20
Last Update Date2007-07-08
Business Address
Mrs. LANA MAY COPPERNOLL EFDA, CDA
2053 NW FARGO CT
CAMAS, WA 98607
Phone number: 380-833-4505
Mailing Address
Mrs. LANA MAY COPPERNOLL EFDA, CDA
2053 NW FARGO CT
CAMAS, WA 98607-7953
Phone number: 380-833-4505