Individual
MRS. EDITH HERRERA VITALICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
1607 HIKERS TRAIL DR, CHULA VISTA, CA 91915-1838
(619) 944-2067
Mailing address
1607 HIKERS TRAIL DR, CHULA VISTA, CA 91915-1838
(619) 944-2067
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
302
CA
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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