Illimani Lesbia Fregozo
Dental Hygienist
2100 Monument Blvd
Pleasant Hill
, California 94523-3489
Illimani Lesbia Fregozo
Dental Hygienist
2100 Monument Blvd
Pleasant Hill
, California 94523-3489
(650) 773-9043
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Illimani Lesbia Fregozo
- 1906 Helen Rd
- Pleasant Hill, CA
- Zip : 94523-2712
- Phone : (650) 773-9043
Second Address
- Illimani Lesbia Fregozo
- 2100 Monument Blvd
- Pleasant Hill, CA
- Zip : 94523-3489
- Phone : (925) 363-1256
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 25607 | CA |
National Provider Identifier
| NPI | 1003117631 |
|---|---|
| Provider Name | Illimani Lesbia Fregozo |
| First Address | Pleasant Hill, CA 94523-2712 |
| Second Address | Pleasant Hill, CA 94523-3489 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/11/2010 |
| Last Update Date | 12/11/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.