Individual
GENESSIS SARAHI AMIGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
1160 E ONTARIO AVE STE 103, CORONA, CA 92881-8653
(951) 547-7484
Mailing address
16424 CERES AVE APT 312, FONTANA, CA 92335-2374
(909) 368-4340
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
90024
CA
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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