Individual
MIONA HE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
10058 RICHARD IBARRA WAY, ELK GROVE, CA 95757-6440
(919) 727-9196
Mailing address
10058 RICHARD IBARRA WAY, ELK GROVE, CA 95757-6440
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
CA
Other
Enumeration date
05/23/2026
Last updated
05/23/2026
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