Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 61089 | CA |
NPI | 1013287440 |
---|---|
Provider Name | Dr. Ma. Kriselda Nery Sayoc |
First Address | Hollister, CA 95023-3361 |
Second Address | Hollister, CA 95023-3361 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2012 |
Last Update Date | 02/01/2012 |