SHELLY MARIE AZEVEDO

LODI, CA
NPI1174021661
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: CA  11388)
Enumeration Date2018-01-30
Last Update Date2018-01-30
Business Address
SHELLY MARIE AZEVEDO RDH
311 W OAK ST
LODI, CA 95240-3401
Phone number: 209-327-2446
Mailing Address
SHELLY MARIE AZEVEDO RDH
311 W OAK ST
LODI, CA 95240-3401
Phone number: 209-327-2446
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