Bercilla, Maridol Macias
Bercilla, Maridol Macias is an sole proprietor health care provider with primary practice located at 6101 N Tower Ln Apt A , Prescott Valley AZ 86314-3198. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Bercilla, Maridol Macias can be contacted via phone (909) 856-7717.Contact Information
Primary practice address
6101 N Tower Ln Apt A
Prescott Valley AZ 86314-3198
Phone: (909) 856-7717
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Vocational Nurse | 164X00000X | 273763 | California |
Profile Details
| NPI number | 1629789581 |
|---|---|
| LBN Legal business name | Bercilla, Maridol Macias |
| Credentials | Licensed Visiting Nurse (LVN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2022 |
| Last updated | Dec 12th, 2022 - about 2 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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