Individual
THERESA ZENNER CLOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
1849 S TAMARACK ST, VISALIA, CA 93277-8422
(559) 737-0123
Mailing address
1849 S TAMARACK ST, VISALIA, CA 93277-8422
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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