Individual
THERESE HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
126 S ORANGE ST, ORANGE, CA 92866-1424
(714) 997-5350
Mailing address
126 S ORANGE ST, ORANGE, CA 92866-1424
(714) 997-5350
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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