GENEVIEVE ELLAZAR WARNER

PORTLAND, OR
NPI1437535978
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OR  H6396)
Enumeration Date2015-08-06
Last Update Date2015-08-06
Business Address
-- GENEVIEVE ELLAZAR WARNER
21174 NW GALICE LN
PORTLAND, OR 97229-7167
Phone number: 503-961-5008
Mailing Address
-- GENEVIEVE ELLAZAR WARNER
21174 NW GALICE LN
PORTLAND, OR 97229-7167
Phone number: