Jacie Homm

NPI #1710142112 in La Junta, Colorado

Provider Information

NPI Number: 1710142112
Entity Type: Individual
Name: Jacie Homm
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Enumeration Date: Jul 24, 2008
Last Updated: Jul 24, 2008

Practice Location

Address: 2322 SAN JUAN AVE
City: La Junta
State: Colorado
ZIP Code: 81050-3341
Phone: (719) 383-3939

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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Organizations

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