Individual
JENNIFER WEITZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
7611 LIPPIZAN DR, RIVERSIDE, CA 92509-5326
(951) 660-7019
(951) 332-0186
Mailing address
7611 LIPPIZAN DR, RIVERSIDE, CA 92509-5326
(951) 660-7019
(951) 332-0186
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
577
CA
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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