Individual
JACQUELINE LEMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DA
Contact information
Practice address
4000 LA RICA AVE., STE. D, BALDWIN PARK, CA 91706
(626) 430-9171
Mailing address
2007 INDIANA ST, WEST COVINA, CA 91792-2450
(626) 964-1916
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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