Individual
MISS JENNIFER PUTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
5814 NECTAR AVE, HEMET, CA 92544-4552
(951) 426-3534
Mailing address
5814 NECTAR AVE, HEMET, CA 92544-4552
(951) 426-3534
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA73563
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RDA73563
—
CA
Enumeration date
12/20/2016
Last updated
12/20/2016
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