Individual
NICOLE SCHIFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2240 WINROW RD, FORT HUACHUCA, AZ 85613-5080
(520) 533-3144
Mailing address
2240 WINROW RD, FORT HUACHUCA, AZ 85613-5080
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH070120
PA
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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