Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | HYG1000816 | DC |
NPI | 1083043251 |
---|---|
Provider Name | Janis Sonley |
First Address | Washington, DC 20015-2014 |
Second Address | Washington, DC 20015-2014 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2013 |
Last Update Date | 07/11/2013 |