Whalio Doctors

NPI 1215233168

Jill Renee Erickson, RDH

Practitioner Dental Hygienist Fort Washakie, WY

Practice location

Address
29 Black Coal Drive, Fort Washakie, WY 82514
Phone
(307) 332-7300
Mailing address
291 S 3rd St, Lander, WY 82520-3114

Registered specialties

Dental Hygienist Primary
Dental Providers Taxonomy 124Q00000X Licence H05665 (AZ)

Registry record

NPI
1215233168
Entity type
Individual
Sex (as registered)
Female
NPI issued
9 Feb 2011
Record last updated
9 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.