Search › Washington › 124Q00000X
Jody Haberman, RDH
NPI 1316631492 · on the registry since 2023 · sole proprietor
Practice
- Address
- 4081 Riverbottom Rd
Ellensburg, WA 98926 - Phone
- (509) 929-4184
Additional practice sites
- 3090 Smithson Rd, Ellensburg, WA
- 2401 W Dolarway Rd, Ellensburg, WA
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-06-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington