SHAWN MIKEAL FETTIG

VANCOUVER, WA
NPI1942398524
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122400000X Denturist
(Licence: WA  ON00000393)
Enumeration Date2006-10-10
Last Update Date2007-07-08
Business Address
Mr. SHAWN MIKEAL FETTIG LD
2701 NE 114 AVE #K6
VANCOUVER, WA 98684-4289
Phone number: 360-892-7107
Mailing Address
Mr. SHAWN MIKEAL FETTIG LD
2701 NE 114 AVE #K6
VANCOUVER, WA 98684-4289
Phone number: 360-892-7107