Individual
MARIA LUISA ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3027 W FLORIDA AVE, HEMET, CA 92545-3617
Mailing address
1291 E AGAPE AVE, SAN JACINTO, CA 92583-5422
(323) 470-7702
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
65647
CA
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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