Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 238 | CA |
NPI | 1013146984 |
---|---|
Provider Name | Mrs. Jennifer A Robles |
First Address | Camarillo, CA 93010-6084 |
Second Address | Camarillo, CA 93010-6084 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2009 |
Last Update Date | 13/07/2009 |