Individual
MRS. ALLISON ANN CUEVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH
Contact information
Practice address
342 E ITALIA ST, COVINA, CA 91723-2203
(626) 720-1192
Mailing address
PO BOX 3607, COVINA, CA 91722-5607
(626) 808-1114
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
26799
CA
124Q00000X
Dental Hygienist
Primary
712
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
833500096
DELTA DENTAL
CA
05
—
833500096
—
CA
Enumeration date
04/29/2019
Last updated
04/29/2019
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