| NPI | 1255694915 |
|---|---|
| Former Name | JESSICA ANNE HUFFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OR H7596) |
| Additional Taxonomies | 126800000X Dental Assistant |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2020-01-13 |