Individual
MRS. REKIAT F FAJEMISIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
7261 PLUM TREE PL, FONTANA, CA 92336-5719
(310) 621-3465
Mailing address
7261 PLUM TREE PL, FONTANA, CA 92336-5719
(310) 621-3465
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP 343
CA
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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