Individual
MS. MEGAN NICOLE HORMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
30035 HAUN RD, MENIFEE, CA 92584-6805
(951) 225-3324
Mailing address
30035 HAUN RD, MENIFEE, CA 92584
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
29633
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29633
—
CA
Enumeration date
05/17/2017
Last updated
03/17/2018
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