Individual
BRIANNA ALICIA GUERRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
3744 MAYA DR, GALLUP, NM 87301-4561
(505) 879-8231
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH2708
NM
124Q00000X
Dental Hygienist
H010205
AZ
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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