Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | DE 60661835 | WA |
NPI | 1003360694 |
---|---|
Provider Name | Dr. Ashley Marie Hutto |
First Address | Bellingham, WA 98225-4648 |
Second Address | Ferndale, WA 98248-7833 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2016 |
Last Update Date | 10/07/2019 |