Individual
LIZABETH L. JAMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
STATE RD. 75 #15136, EL CENTRO FAMILY HEALTH PENASCO DENTAL, PENASCO, NM 87553-0516
(575) 587-2809
(575) 587-2605
Mailing address
PO BOX 158, 538 N. PASEO DE ONATE, ESPANOLA, NM 87532-0158
(505) 753-7218
(505) 753-5815
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH539
NM
Other
Enumeration date
10/10/2011
Last updated
07/05/2013
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