Melody Lyn Jackson, RDHAP

NPI #1861605339 in Spring Valley, California

Provider Information

NPI Number: 1861605339
Entity Type: Individual
Name: Melody Lyn Jackson, RDHAP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: RDHAP
Enumeration Date: May 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 630 BROADVIEW ST
City: Spring Valley
State: California
ZIP Code: 91977-5522
Phone: (619) 246-3491

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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