Individual
MAYRA NAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9987 WALLACE WAY, WINDSOR, CA 95492-9252
(707) 548-9106
Mailing address
9987 WALLACE WAY, WINDSOR, CA 95492-9252
(707) 548-9106
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
62195
CA
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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