Dade, Genesis J

Dade, Genesis J is an individual health care provider with primary practice located at 1222 Lavendar Way , Corona CA 92882-7333. She recently has 3 registered licenses in different health care specialties including Emergency Medical Service Providers / Emergency Medical Technician, Basic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Dade, Genesis J can be contacted via phone (951) 665-7256.

Contact Information

Primary practice address
1222 Lavendar Way Corona CA 92882-7333
Phone: (951) 665-7256
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X E151905 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1669106126
LBN Legal business name Dade, Genesis J
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2022
Last updated Jul 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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