Banda Dominguez, Jenifer Andrea

Banda Dominguez, Jenifer Andrea is an sole proprietor health care provider with primary practice located at 9500 Haven Ave , Rancho Cucamonga CA 91730-5807. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Banda Dominguez, Jenifer Andrea can be contacted via phone (909) 980-6700.

Contact Information

Primary practice address
9500 Haven Ave Rancho Cucamonga CA 91730-5807
Phone: (909) 980-6700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1730840505
LBN Legal business name Banda Dominguez, Jenifer Andrea
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2022
Last updated Sep 7th, 2023 - about last year

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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