Whalio Doctors

NPI 1770281628

Jennifer C. De'Lavigne, RDHAP

Practitioner Dental Hygienist Fort Bragg, CA

Practice location

Address
203 E Pine St, Fort Bragg, CA 95437-3306
Phone
(707) 962-8044

Registered specialties

Dental Hygienist Primary
Dental Providers Taxonomy 124Q00000X Licence 915 (CA)

Registry record

NPI
1770281628
Entity type
Individual
Sex (as registered)
Female
NPI issued
20 Feb 2023
Record last updated
20 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.