Individual
JANINE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
3885 BEACON AVE, SUITE C, FREMONT, CA 94538-1462
(510) 745-1800
Mailing address
3885 BEACON AVE, SUITE C, FREMONT, CA 94538-1462
(510) 745-1800
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
26116
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26116
DHCC
CA
Enumeration date
02/27/2014
Last updated
02/27/2014
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