Individual
KATHRYN PELOSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 S INDIANA AVE, ENGLEWOOD, FL 34223-3301
(941) 475-2442
Mailing address
130 S INDIANA AVE, ENGLEWOOD, FL 34223-3301
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00002664
WA
Other
Enumeration date
01/09/2014
Last updated
01/09/2014
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