Individual
SHANDA DARLENE LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5005 N PIEDRAS ST, EL PASO, TX 79920-5002
(915) 742-0212
Mailing address
5005 N PIEDRAS ST, EL PASO, TX 79920-5002
(915) 742-0212
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5424
AL
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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