Individual
MRS. ELIZABETH HERNANDEZ SEVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
3139 BIG DALTON AVE, BALDWIN PARK, CA 91706-5106
(626) 251-0193
Mailing address
3139 BIG DALTON AVE, BALDWIN PARK, CA 91706-5106
(626) 251-0193
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
33813
CA
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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