Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 126800000X | Dental Assistant | 48699 | CA |
NPI | 1306327952 |
---|---|
Provider Name | Vernica M Alvarado Sanchez |
First Address | Los Angeles, CA 90025-1123 |
Second Address | Los Angeles, CA 90025-1123 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2018 |
Last Update Date | 22/08/2018 |