Individual
NICOLE SUSAN SPOONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2740 HERNDON AVE, CLOVIS, CA 93611-6813
(559) 299-2578
(559) 299-1421
Mailing address
2740 HERNDON AVE, CLOVIS, CA 93611-6813
(559) 299-2578
(559) 299-1421
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
30570
CA
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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