Individual
JANE VO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11821 PALMWOOD DR, GARDEN GROVE, CA 92840-2016
(714) 254-5577
Mailing address
11821 PALMWOOD DR, GARDEN GROVE, CA 92840-2016
(714) 254-5577
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA92829
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RDA92829
—
CA
Enumeration date
06/11/2020
Last updated
06/11/2020
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