Individual ProviderJelena StottDental HygienistDental ProvidersPractice AddressUnit 28038, Apo, AE 09112011499622834738PECOS EnrollmentBased on the most recent information from CMS, provider Jelena Stott does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1225439094Provider TypeIndividualFull NameStott, JelenaCredentialRDHGenderFemaleSole ProprietorNoEnumeration Date9/11/2014Last Updated9/11/2014Contact InformationPractice LocationPractice AddressUnit 28038, Apo, AE 09112Phone011499622834738FaxUnlisted FaxMailing LocationMailing AddressUnit 28038, Apo, AE 09112PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode124Q00000XPrimaryDescriptionDental HygienistDental ProvidersLicenseDH-2402Idaho