Individual
JO ANN SALLY HIROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
316 E 2ND ST STE 301, LOS ANGELES, CA 90012-4223
(213) 680-9935
Mailing address
2146 CEDARHURST DR, LOS ANGELES, CA 90027-2109
(323) 804-1782
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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