Individual
JAMIE ROSE TANCIATCO DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2835 HIGHLAND AVE, NATIONAL CITY, CA 91950-7404
(209) 683-5640
Mailing address
784 VADA ST UNIT 1, CHULA VISTA, CA 91911-6456
(619) 991-4005
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
37028
CA
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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