Ballesteros, Marni

Ballesteros, Marni is an individual health care provider with primary practice located at 2101 Courage Dr , Fairfield CA 94533-6717. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Ballesteros, Marni can be contacted via phone (707) 639-4675.

Contact Information

Primary practice address
2101 Courage Dr Fairfield CA 94533-6717
Phone: (707) 639-4675
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 660254 California

Profile Details

NPI number 1679090781
LBN Legal business name Ballesteros, Marni
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2017
Last updated Aug 29th, 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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