Jovonnie Jasmaine Eltagonde, DENTAL ASSISTANT Valid NPI

Individual provider · Dental Assistant · Fort Carson, CO

NPI

1528541737

Type

Individual (Type 1)

Primary specialty

Dental Assistant

Specialty group

Dental Providers

Taxonomy code

126800000X

Sex

Female

Sole proprietor

No

Enumerated

2018-09-13

Last updated

2018-09-13