Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | DH00002951 | WA |
NPI | 1023338894 |
---|---|
Provider Name | Ms. Victoria C Fox-Miller |
First Address | East Wenatchee, WA 98802-5541 |
Second Address | East Wenatchee, WA 98802-5541 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2010 |
Last Update Date | 03/06/2010 |