Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | PHDH000654 | PA |
NPI | 1073032405 |
---|---|
Provider Name | Rhonda Littlefield |
First Address | Bedford, PA 15522-5004 |
Second Address | Altoona, PA 16601-4814 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2017 |
Last Update Date | 18/09/2017 |