Individual
EMILY MICHELLE MENJIVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 4TH ST STE A, SAN RAFAEL, CA 94901-5716
(415) 526-8591
Mailing address
2363 BROOKS AVE, RICHMOND, CA 94804-1403
(650) 273-3725
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
33648
CA
Other
Enumeration date
12/31/2020
Last updated
12/31/2020
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