Individual
ROSA MARIA PELAYO BARRAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3027 W FLORIDA AVE, HEMET, CA 92545-3617
(951) 330-4618
Mailing address
3027 W FLORIDA AVE, HEMET, CA 92545-3617
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA92155
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111
—
CA
Enumeration date
06/06/2019
Last updated
06/06/2019
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