Jeanie Colvin, ADDP COORDINATOR
NPI #1700239217 in Jblm, Washington
Provider Information
- NPI Number
- 1700239217
- Entity Type
- Individual
- Name
- Jeanie Colvin, ADDP COORDINATOR
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dental Assistant
- Credential
- ADDP COORDINATOR
- Enumeration Date
- Jul 20, 2016
- Last Updated
- Aug 22, 2019
Practice Location
- Address
- 11572 17TH AND C ST.
- City
- Jblm
- State
- Washington
- ZIP Code
- 98433
- Phone
- (253) 966-7680
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Assistant |
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