| NPI | 1356706733 |
|---|---|
| Former Name | JESSICA CHRISTENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OR H5674) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: ID DH-2200) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |