SHEILA SUZANNE BLACKETER

SALEM, OR
NPI1861630808
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OR  H3855)
Enumeration Date2009-01-29
Last Update Date2009-01-29
Business Address
Mrs. SHEILA SUZANNE BLACKETER RDH
700 53RD AVE NW
SALEM, OR 97304-3248
Phone number: 503-871-5214
Mailing Address
Mrs. SHEILA SUZANNE BLACKETER RDH
700 53RD AVE NW
SALEM, OR 97304-3248
Phone number: 503-871-5214