Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 126800000X | Dental Assistant | 65824 | CA |
NPI | 1366683104 |
---|---|
Provider Name | Josefina Poyser |
First Address | Napa, CA 94558-6484 |
Second Address | Napa, CA 94558-6484 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2009 |
Last Update Date | 06/03/2009 |