Antonio, Ethel

Antonio, Ethel is an sole proprietor health care provider with primary practice located at 14117 Limonite Ave , Eastvale CA 92880-3864. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Antonio, Ethel can be contacted via phone (619) 220-2018.

Contact Information

Primary practice address
14117 Limonite Ave Eastvale CA 92880-3864
Phone: (619) 220-2018
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95007507 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95007507 California

Profile Details

NPI number 1386778967
LBN Legal business name Antonio, Ethel
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2007
Last updated Dec 11th, 2021 - about 3 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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