Individual
THERESA ZENNER CLOUSE
Active
Individual
THERESA ZENNER CLOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Taxonomy
Speciality
Code
Description
License number
State
125K00000X
Advanced Practice Dental Therapist
Primary
HAP506
CA
Other
Enumeration date
02/24/2014
Last updated
02/24/2014
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