SHELLEY DIANNE AUSMUS

VANCOUVER, WA
NPI1548372675
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: WA  DH00005999)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
-- SHELLEY DIANNE AUSMUS RDH
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684-6053
Phone number: 360-896-4484
Mailing Address
-- SHELLEY DIANNE AUSMUS RDH
2607 NE 307TH AVE
WASHOUGAL, WA 98671-9263
Phone number: