Individual
GESILE LIBATIQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
145 ARREBA ST, MARTINEZ, CA 94553-2409
(925) 323-7442
Mailing address
145 ARREBA ST, MARTINEZ, CA 94553-2409
(925) 323-7442
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
17461
CA
124Q00000X
Dental Hygienist
DH2354
NM
124Q00000X
Dental Hygienist
H6294
MN
124Q00000X
Dental Hygienist
Primary
RDHAP662
CA
Other
Enumeration date
05/03/2012
Last updated
06/16/2018
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