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Vanessa Jaqueline Verduzco

Dental Assistant in Madera, CA. Individual provider (NPI-1).

NPI number1679340640
StatusActive
Last updated in NPPESDec 8, 2023

Details

NPI
1679340640
Entity type
Individual (NPI-1)
Name
Vanessa Jaqueline Verduzco
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 8, 2023
Certification date
Dec 8, 2023
Last updated
Dec 8, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
126800000X Dental Assistantrda100305CAYes

Practice location

9300 Valley Childrens Pl
Madera, CA 93636-8762

Phone 559-353-3000

Mailing address

9300 Valley Childrens Pl
Madera, CA 93636-8761

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