Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | DH17522 | FL |
NPI | 1033200449 |
---|---|
Provider Name | Claudia M Boyarski |
First Address | Fellsmere, FL 32948-5463 |
Second Address | Fellsmere, FL 32948-5463 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
DR124976 | DENTAL RADIOGRAPHER (01) | FL |