Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | DH60381756 | WA |
NPI | 1043989866 |
---|---|
Provider Name | Rachael C Francis |
First Address | Keyport, WA 98345-0046 |
Second Address | Poulsbo, WA 98370-8068 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2021 |
Last Update Date | 07/09/2021 |