| NPI | 1194577783 |
|---|---|
| Former Name | LORAINE DE LAS MERCEDES CEREJIDO MARQUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: DE G8-CH00015) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2024-05-28 |