Cayetano, Justin Candelaria

Cayetano, Justin Candelaria is an sole proprietor health care provider with primary practice located at 614 Forester Ln , Bonita CA 91902-4034. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Cayetano, Justin Candelaria can be contacted via phone (619) 395-4103.

Contact Information

Primary practice address
614 Forester Ln Bonita CA 91902-4034
Phone: (619) 395-4103
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1578961017
LBN Legal business name Cayetano, Justin Candelaria
Credentials SFIDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2014
Last updated Dec 16th, 2014 - about 10 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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