Agresor, Mark Jordan
Agresor, Mark Jordan is an sole proprietor health care provider with primary practice located at 4425 Camino Parocela , Palm Springs CA 92264. He recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as his primary health care specialty. Agresor, Mark Jordan can be contacted via phone (760) 413-2998.Contact Information
Primary practice address
4425 Camino Parocela
Palm Springs CA 92264
Phone: (760) 413-2998
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | 00859592 | California |
Profile Details
| NPI number | 1265971162 |
|---|---|
| LBN Legal business name | Agresor, Mark Jordan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2017 |
| Last updated | Feb 13th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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