Individual
GINA KARIN JAUREGUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8381 LA PALMA AVE, BUENA PARK, CA 90620-3271
(714) 228-9990
Mailing address
1353 W MAXZIM AVE, FULLERTON, CA 92833-4609
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
66713
CA
Other
Enumeration date
06/04/2014
Last updated
06/04/2014
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