Individual
LARSA HIRMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4058 WILLOWS RD, ALPINE, CA 91901-1668
(619) 445-1188
Mailing address
3503 DOVEVIEW CT, SPRING VALLEY, CA 91977-2857
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
35736
—
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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