Individual
YANETT ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 E WASHINGTON BLVD APT 31, PASADENA, CA 91104-1840
(626) 822-1056
Mailing address
2211 E WASHINGTON BLVD APT 31, PASADENA, CA 91104-1840
(626) 822-1056
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
72393
CA
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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