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Individual

ANNABEL CERNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
725 W I ST, LOS BANOS, CA 93635-3478
(209) 826-1094
(209) 826-7808
Mailing address
737 W CHILDS AVE, MERCED, CA 95341-6805
(209) 385-5529
(209) 383-1296

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
22035
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22035
HYGIENE LICENSES
CA
Enumeration date
04/10/2012
Last updated
04/10/2012
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