Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 25518 | CA |
NPI | 1063056810 |
---|---|
Provider Name | Nancy Lee Newton |
First Address | Santa Ynez, CA 93460-9679 |
Second Address | Santa Ynez, CA 93460-9679 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2019 |
Last Update Date | 20/11/2019 |