Individual
SONIA SIGUENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11362 LOUISE AVE, LYNWOOD, CA 90262-3114
(310) 874-9711
Mailing address
11362 LOUISE AVE, LYNWOOD, CA 90262-3114
(310) 874-9711
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
69520
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
69520
—
CA
Enumeration date
04/21/2017
Last updated
04/21/2017
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