Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | H2913 | OR |
NPI | 1033435169 |
---|---|
Provider Name | Ms. Margaret Ann Mannila |
First Address | Apo, AE 09180 |
Second Address | Apo, AE 09180 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2010 |
Last Update Date | 14/04/2010 |