Paola Ruby Trejo, RDA
Dental Assistant in Lynwood, CA. Individual provider (NPI-1).
NPI number1467971937
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1467971937
- Entity type
- Individual (NPI-1)
- Name
- Paola Ruby Trejo
- Credential
- RDA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 15, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 126800000X | Dental Assistant | 89136 | CA | Yes |
Practice location
3951 Agnes Ave Unit BLynwood, CA 90262-4418
Phone 310-866-0993
Mailing address
3951 Agnes Ave Unit BLynwood, CA 90262-4418
Phone 310-866-0993
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