Provider Demographics
NPI:1295605921
Name:JOBIN, JULIENNE
Entity type:Individual
Prefix:
First Name:JULIENNE
Middle Name:
Last Name:JOBIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1133
Mailing Address - Street 2:
Mailing Address - City:CLE ELUM
Mailing Address - State:WA
Mailing Address - Zip Code:98922-2133
Mailing Address - Country:US
Mailing Address - Phone:425-223-7775
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 1133
Practice Address - Street 2:
Practice Address - City:CLE ELUM
Practice Address - State:WA
Practice Address - Zip Code:98922-2133
Practice Address - Country:US
Practice Address - Phone:425-223-7775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-07
Last Update Date:2025-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAHL0007081124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist