Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | DH21482 | FL |
NPI | 1073064648 |
---|---|
Provider Name | Brittany S Toombs |
First Address | Tallahassee, FL 32308-8707 |
Second Address | Quincy, FL 32351-5248 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2016 |
Last Update Date | 03/10/2017 |