Individual
JESSICALIN BRODO RIBELLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EFDA
Contact information
Practice address
1118 SE BACARRA ST., HILLSBORO, OR 97123
(503) 531-1700
Mailing address
1118 SE BACARRA ST, HILLSBORO, OR 97123-4686
(808) 772-9453
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
OR
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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