Individual
MRS. CIOMARA MARLENY CANALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25835 BASIL CT, MORENO VALLEY, CA 92553-5025
(818) 602-7195
Mailing address
25835 BASIL CT, MORENO VALLEY, CA 92553-5025
(818) 602-7195
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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