Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | DE00005667 | WA |
NPI | 1447334743 |
---|---|
Provider Name | Dr. Ann-Marie Monson |
First Address | Spokane, WA 99201-0254 |
Second Address | Cheney, WA 99004-1910 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2006 |
Last Update Date | 30/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5508800 | (05) | WA |