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Individual

JACQUELINE LARIOS CARDENAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7005 N CHESTNUT AVE STE 101, FRESNO, CA 93720-0348
(559) 299-3949
(559) 854-1013
Mailing address
7005 N CHESTNUT AVE STE 101, FRESNO, CA 93720-0348
(559) 299-3949

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA93938
CA

Other

Enumeration date
02/20/2020
Last updated
02/20/2020
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