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NPI Code Detail

MEDICARE: EVA MARIA ADAMS RDHAP

MEDICARE:   EVA MARIA ADAMS  RDHAP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1124Q00000XDental HygienistHAP694CA

General Provider Information

NPI Number : 1629554530
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVA MARIA ADAMS RDHAP
Provider Business Mailing Address
First Line : 4706 ASTER AVE
Second Line :
City : MCKINLEYVILLE
State : CA
Zip : 95519-9435
Country : US
Telephone Number : 707-499-7059
Fax Number :
Provider Business Practice Location Address
First Line : 695 #3 RANCHERIA ROAD
Second Line :
City : BLUE LAKE
State : CA
Zip : 95525
Country : US
Telephone Number : 707-266-6767
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2018
Last Update Date : 07/13/2018

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Directions to “ EVA MARIA ADAMS RDHAP” Practice Location

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