Individual
ETHEL LUCIA TIJERINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Contact information
Practice address
2489 DIPLOMAT PKWY E, CAPE CORAL, FL 33909-5422
(239) 652-1800
Mailing address
825 NYASA AVE, FORT MYERS, FL 33913-7546
(786) 972-4767
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH11696
FL
Other
Enumeration date
01/14/2007
Last updated
08/03/2015
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