Individual
MRS. SABRINA ELISE PRANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
400 RUSSELL AVE BLDG 41, BELLE CHASSE, LA 70037-1006
(504) 678-7965
Mailing address
9513 SUGAR MAPLE LN, WESTWEGO, LA 70094-3183
(256) 541-4555
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
7982
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7982
ALABAMA BOARD OF DENTISTRY
AL
Enumeration date
01/11/2022
Last updated
01/11/2022
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