Aviles, Fanny Raquel

Aviles, Fanny Raquel is an individual health care provider with primary practice located at 1904 Richland Ave # D , Ceres CA 95307-4562. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Aviles, Fanny Raquel can be contacted via phone (209) 552-9878.

Contact Information

Primary practice address
1904 Richland Ave # D Ceres CA 95307-4562
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1114581634
LBN Legal business name Aviles, Fanny Raquel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2019
Last updated Apr 30th, 2019 - about 5 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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