Individual
JESSICA NCIOLE MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
42 WIMBLEDON LN, TRACY, CA 95376-4476
(209) 321-9659
Mailing address
42 WIMBLEDON LN, TRACY, CA 95376-4476
(209) 321-9659
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
30990
CA
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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