Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist |
NPI | 1033201736 |
---|---|
Provider Name | Mrs. Mary Jo-Anne Guinto |
First Address | Virginia Beach, VA 23456-6889 |
Second Address | Norfolk, VA 09599-2871 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 08/07/2007 |