TERRY LYNN PROVASI

GRASS VALLEY, CA
NPI1629325360
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
Enumeration Date2012-08-13
Last Update Date2012-08-13
Business Address
-- TERRY LYNN PROVASI RDHAP
173 ARCADIA DR.
GRASS VALLEY, CA 95945
Phone number: 530-272-3705
Mailing Address
-- TERRY LYNN PROVASI RDHAP
173 ARCADIA DR.
GRASS VALLEY, CA 95945
Phone number: 530-272-3705