Individual
GUADALUPE ENRIQUEZ PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 DIXIE ST, ROSAMOND, CA 93560-6027
(323) 384-6375
Mailing address
2601 DIXIE ST, ROSAMOND, CA 93560-6027
(323) 384-6375
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA71318
CA
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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