Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 126800000X | Dental Assistant | 84751 | CA |
NPI | 1215511902 |
---|---|
Provider Name | Robin Lynnette Finnie |
First Address | San Jose, CA 95125-1069 |
Second Address | San Jose, CA 95125-1069 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2021 |
Last Update Date | 08/05/2021 |