Individual
JOSALYN NICOLE SEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
503 S MAIN AVE, AZTEC, NM 87410-2247
(505) 334-9453
(505) 334-2000
Mailing address
503 S MAIN AVE, AZTEC, NM 87410-2247
(505) 334-9453
(505) 334-2000
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH 2915
NM
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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