LACEY DAWN HENDRICKSON

VANCOUVER, WA
NPI1962231670
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: WA  DH61571364)
Enumeration Date2024-07-31
Last Update Date2024-07-31
Business Address
LACEY DAWN HENDRICKSON RDH
700 SE 160TH AVE STE 121
VANCOUVER, WA 98684-8910
Phone number: 360-253-3480
Mailing Address
LACEY DAWN HENDRICKSON RDH
146 SYLVAN WAY
LONGVIEW, WA 98632-9628
Phone number: 360-747-0177