Individual
REBECCA LIZARRAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10039 THREE SISTERS CT, BRISTOW, VA 20136-2631
(480) 229-2941
Mailing address
10039 THREE SISTERS CT, BRISTOW, VA 20136-2631
(480) 229-2941
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
0402205507
VA
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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