Individual
YAILI VEGA BORREGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRDH
Contact information
Practice address
12123 LITTLE RD, HUDSON, FL 34667-2924
(727) 379-9250
Mailing address
12123 LITTLE RD, HUDSON, FL 34667-2924
(727) 379-9250
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH25183
FL
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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