Individual
XIN LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1231 BROWN'S ALLEY, WALNUT GROVE, CA 95690
(916) 776-1235
Mailing address
131 AVIATOR CIR, SACRAMENTO, CA 95835-1253
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
23936
CA
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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