Individual
SONIA NOEMI ZAYAS CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
390 N LOOP RD, FORT IRWIN, CA 92310
(760) 380-3166
Mailing address
26456 CATAMARAN LN, HELENDALE, CA 92342-7743
(760) 380-3166
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
35481
CA
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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