Individual
THELMA PORRAS-GUADERRAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
339 E LELAND RD, PITTSBURG, CA 94565-4911
(925) 628-5399
Mailing address
5065 TEHACHAPI WAY, ANTIOCH, CA 94531-8808
(925) 431-1250
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
30121
CA
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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