Nicole Sepulveda, 68EN5
NPI #1881106193 in Fort Irwin, California
Provider Information
- NPI Number
- 1881106193
- Entity Type
- Individual
- Name
- Nicole Sepulveda, 68EN5
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dental Laboratory Technician
- Credential
- 68EN5
- Enumeration Date
- Oct 26, 2017
- Last Updated
- Oct 31, 2017
Practice Location
- Address
- BLDG 171
- Address 2
- 4TH & INNER LOOP ROAD
- City
- Fort Irwin
- State
- California
- ZIP Code
- 92310
- Phone
- (719) 526-5537
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Assistant |
| Dental Laboratory Technician |
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