Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 126800000X | Dental Assistant | 212705 | VA |
NPI | 1083109862 |
---|---|
Provider Name | Rhonda S Mcguire |
First Address | North Chesterfield, VA 23234-5716 |
Second Address | Fort Lee, VA 23801-1526 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2018 |
Last Update Date | 25/06/2018 |