Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | DH7818 | FL |
NPI | 1053447706 |
---|---|
Provider Name | Robin Hoke Nunez |
First Address | Fort Myers, FL 33908-1104 |
Second Address | Fort Myers, FL 33908-2569 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 08/07/2007 |