Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 6469 | MD |
NPI | 1043568033 |
---|---|
Provider Name | Rodshekia Denise Newton |
First Address | Cambridge, MD 21613-3680 |
Second Address | Denton, MD 21629-1243 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2012 |
Last Update Date | 22/08/2012 |