LARISSA VANDERWALL

TIGARD, OR
NPI1043854110
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy126800000X Dental Assistant
Enumeration Date2019-11-01
Last Update Date2019-11-01
Business Address
LARISSA VANDERWALL
7105 SW HAMPTON ST
TIGARD, OR 97223-8314
Phone number: 503-684-9274
Mailing Address
LARISSA VANDERWALL
7105 SW HAMPTON ST
TIGARD, OR 97223-8314
Phone number: 503-684-9274
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