NPI 1700239217
Jeanie Colvin, ADDPCOORDINATOR
Practice location
- Address
- 11572 17th and C St., Jblm, WA 98433
- Phone
- (253) 966-7680
- Fax
- (253) 967-7216
Registered specialties
Dental Assistant
Primary
Registry record
- NPI
- 1700239217
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 Jul 2016
- Record last updated
- 22 Aug 2019
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.