Ethel Lucia Tijerino in Fort Myers - Dental Hygienist
Ethel Lucia Tijerino - NPI 1386795763
Ethel Lucia Tijerino is a Dental Hygienist in Fort Myers, Florida. Ethel Lucia Tijerino practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Ethel Lucia Tijerino is 1386795763. The last update date is 2015-08-03.
Ethel Lucia Tijerino's current location address is 825 Nyasa Ave, Fort Myers, Florida. You can contact this provider via phone number 7869724767. The mailing address for Ethel Lucia Tijerino is 825 Nyasa Ave, Fort Myers, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ethel Lucia Tijerino |
|---|---|
| Address | 825 Nyasa Ave, Fort Myers, Florida |
| Phone Number | 7869724767 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DENTAL HYG |
NPI Number Detail
| NPI Number | 1386795763 |
|---|---|
| Provider Enumeration Date | 2007-01-14 |
| Last Updated Date | 2015-08-03 |
Provider Mailing Address Detail
| Address | 825 Nyasa Ave |
|---|---|
| City | Fort Myers |
| State | Florida (FL) |
| Post Code | 339137546 |
| Phone Number | 7869724767 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
| Licence No | DH11696 |
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Definition: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be |
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What is the unique 10-digit identification code assigned to Ethel Lucia Tijerino by the Centers for Medicare & Medicaid Services?
The Ethel Lucia Tijerino has been issued the NPI (National Provider Identifier) 1386795763, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Ethel Lucia Tijerino?
The Ethel Lucia Tijerino is situated at 825 Nyasa Ave, in the city of Fort Myers, state of FL, with the zip code 339137546.
What is Ethel Lucia Tijerino's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ethel Lucia Tijerino is Dental Hygienist, and the taxonomy code that categorizes this field of expertise is 124Q00000X.
On what date did the Ethel Lucia Tijerino receive the assignment of its 1386795763 from the Centers for Medicare & Medicaid Services?
The Ethel Lucia Tijerino was issued its 1386795763 by the Centers for Medicare & Medicaid Services on 2007-01-14.
When was the information regarding Ethel Lucia Tijerino most recently updated?
The details pertaining to the Ethel Lucia Tijerino, including its address, specialty, and other relevant information, were last refreshed on 2015-08-03.
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