Individual
JACQUELINE GONZALEZ-QUIROZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
115 S LOUISE AVE, AZUSA, CA 91702-4346
(909) 282-7191
Mailing address
115 S LOUISE AVE, AZUSA, CA 91702-4346
(909) 282-7191
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP718
CA
Other
Enumeration date
04/14/2021
Last updated
06/06/2021
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