Individual
LYNNE MARIE REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BLDG 310515, CAMP PENDLETON, CA 92055
(760) 725-2331
Mailing address
BLDG 310515, CAMP PENDLETON, CA 92055
(760) 725-2331
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
14171
CA
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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