Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 5995-015 | WI |
NPI | 1437233277 |
---|---|
Provider Name | Dr. Lucia Helena Nascimento |
First Address | Juneau, AK 99801-7809 |
Second Address | Juneau, AK 99801-7809 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 08/07/2007 |