Individual
JESSICA CARMENATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11137 ORIOLE DR, RIVERSIDE, CA 92505-2430
(951) 809-5187
Mailing address
11137 ORIOLE DR, RIVERSIDE, CA 92505-2430
(951) 809-5187
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
80250
CA
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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