Baltierra, Mandy Michelle

Baltierra, Mandy Michelle is an individual health care provider with primary practice located at 1430 E Cooley Dr , Colton CA 92324-3934. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Baltierra, Mandy Michelle can be contacted via phone (909) 433-0445.

Contact Information

Primary practice address
1430 E Cooley Dr Colton CA 92324-3934
Phone: (909) 433-0445
Fax: (909) 433-0556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1821137613
LBN Legal business name Baltierra, Mandy Michelle
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Jul 8th, 2007 - about 17 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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