Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | DH25777 | FL |
NPI | 1033709431 |
---|---|
Provider Name | Eunice Milien-Prophete |
First Address | Naples, FL 34109-2044 |
Second Address | Naples, FL 34109-2044 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2021 |
Last Update Date | 20/01/2021 |