Individual
MRS. TRUDY LYNN SCHUCKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
26873 SIERRA HWY, STE 224, SANTA CLARITA, CA 91321
(661) 713-2112
(661) 360-9003
Mailing address
26873 SIERRA HWY, # 224, SANTA CLARITA, CA 91321
(661) 713-2112
(661) 360-9003
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
24412
CA
124Q00000X
Dental Hygienist
Primary
313
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100507898
—
NV
Enumeration date
09/09/2010
Last updated
09/09/2010
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