Individual
JESSICA MARIE WALKER-LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1030 WOLFRUM RD, WELDON SPRING, MO 63304-7795
(844) 853-8937
Mailing address
3028 E MARCONI AVE, PHOENIX, AZ 85032-3735
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2024022321
MO
124Q00000X
Dental Hygienist
H06118
AZ
Other
Enumeration date
06/23/2022
Last updated
12/23/2024
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