Individual
SUSANA RICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5442 SYCUAN RD, EL CAJON, CA 92019-1816
(619) 445-0707
Mailing address
5442 SYCUAN RD, EL CAJON, CA 92019-1816
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
26874
CA
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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