Individual
JACKIE MARIE HARNOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
US ARMY DENTAL COMMAND, 2240 E. WINROW AVE, FORT HUACHUCA, AZ 85613
(520) 533-3147
Mailing address
US ARMY DENTAL COMMAND, 2240 E. WINROW AVE, FORT HUACHUCA, AZ 85613
(520) 533-3147
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H009965
AZ
Other
Enumeration date
11/03/2022
Last updated
11/04/2022
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