Canello, Nidia Yamileth

Canello, Nidia Yamileth is an individual health care provider with primary practice located at 2025 N D St , San Bernardino CA 92405-3913. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Canello, Nidia Yamileth can be contacted via phone (909) 475-8793.

Contact Information

Primary practice address
2025 N D St San Bernardino CA 92405-3913
Phone: (909) 475-8793
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1124234224
LBN Legal business name Canello, Nidia Yamileth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Apr 13th, 2021 - about 3 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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