ANNETTE ALLISON TACKE

LONGVIEW, WA
NPI1407192073
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: WA  DH00007476)
Enumeration Date2012-12-29
Last Update Date2012-12-29
Business Address
-- ANNETTE ALLISON TACKE rdh
115 KIRKLAND RD
LONGVIEW, WA 98632-0701
Phone number: 253-653-0042
Mailing Address
-- ANNETTE ALLISON TACKE rdh
115 KIRKLAND RD
LONGVIEW, WA 98632-0701
Phone number: 253-653-0042
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