Josue Emanuel Menjivar, RDH

NPI #1790432722 in Nipomo, California

Provider Information

NPI Number: 1790432722
Entity Type: Individual
Name: Josue Emanuel Menjivar, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Mar 9, 2022
Last Updated: Mar 9, 2022

Practice Location

Address: 150 TEJAS PL
City: Nipomo
State: California
ZIP Code: 93444-9123
Phone: (805) 929-3254

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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