Individual
BARBIE SYSAMOUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
23128 COLONY PARK DR, CARSON, CA 90745-5564
(623) 313-8360
Mailing address
23128 COLONY PARK DR, CARSON, CA 90745-5564
(623) 313-8360
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
922
CA
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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