NPI | 1841061595 |
---|---|
Former Name | JINKY SANTOS ACLAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OR H6784) |
Additional Taxonomies | 125J00000X Dental Therapist (Licence: OR DT0014) |
Enumeration Date | 2024-01-11 |
Last Update Date | 2024-01-11 |