Jessicalin Brodo Ribellia, EFDA

NPI #1164979704 in Hillsboro, Oregon

Provider Information

NPI Number: 1164979704
Entity Type: Individual
Name: Jessicalin Brodo Ribellia, EFDA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Assistant
Credential: EFDA
Enumeration Date: Sep 1, 2016
Last Updated: Sep 1, 2016

Practice Location

Address: 1118 SE BACARRA ST.
City: Hillsboro
State: Oregon
ZIP Code: 97123
Phone: (503) 531-1700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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