NPI 1881106193
Nicole Sepulveda, EN
Practice location
- Address
- Bldg 171 4th & Inner Loop Road, Fort Irwin, CA 92310
- Phone
- (719) 526-5537
Registered specialties (2)
Dental Laboratory Technician
Primary
Dental Assistant
Registry record
- NPI
- 1881106193
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 26 Oct 2017
- Record last updated
- 31 Oct 2017
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.