Individual
MIA NICOLE PACINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
3431 CHESS LN, UKIAH, CA 95482-9407
(831) 247-6179
Mailing address
3431 CHESS LN, UKIAH, CA 95482-9407
(831) 247-6179
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1019
—
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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