Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 11618 | TX |
NPI | 1003927740 |
---|---|
Provider Name | Ms. Blanca Rios |
First Address | El Paso, TX 79901 |
Second Address | El Paso, TX 79901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/07/2007 |