NPI | 1912351834 |
---|---|
Former Name | JERIN RACHEL HAWTHORNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO 906335) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NV 101363) |
124Q00000X Dental Hygienist (Licence: NC 7994) | |
124Q00000X Dental Hygienist (Licence: SC 3683) | |
Enumeration Date | 2016-04-17 |
Last Update Date | 2016-04-17 |