Individual
YOLENE DHAITI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1381 UNIVERSITY AVENUE, HEALDSBURG, CA 95448
(707) 433-8161
Mailing address
1834 HARTMAN LN, PETALUMA, CA 94954-2534
(707) 338-3370
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
19826
CA
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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