Individual
NANCY OCHOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
(619) 906-4564
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
(619) 906-4564
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
20428
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LICENSE
20428
CA
Enumeration date
04/21/2011
Last updated
04/21/2011
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