Audoma-Petzel, Raven Bethannie

Audoma-Petzel, Raven Bethannie is an individual health care provider with primary practice located at 2085 Rustin Ave Ste 1 , Riverside CA 92507-2498. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Audoma-Petzel, Raven Bethannie can be contacted via phone (951) 955-7320.

Contact Information

Primary practice address
2085 Rustin Ave Ste 1 Riverside CA 92507-2498
Phone: (951) 955-7320
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 266168 California

Profile Details

NPI number 1720747165
LBN Legal business name Audoma-Petzel, Raven Bethannie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2021
Last updated Dec 13th, 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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