Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 18636 | TX |
NPI | 1003448903 |
---|---|
Provider Name | Ms. Erin Rachel Ginithan |
First Address | Horizon City, TX 79928-7343 |
Second Address | El Paso, TX 79936-8019 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2020 |
Last Update Date | 08/02/2020 |