Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 16599 | AZ |
N | 124Q00000X | Dental Hygienist | 8509 | NC |
NPI | 1033361449 |
---|---|
Provider Name | Taneika Duhaney |
First Address | Yuma, AZ 85365-5472 |
Second Address | Jacksonville, FL 32212-0140 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2008 |
Last Update Date | 05/02/2009 |