De Leon Renteria, Angelica

De Leon Renteria, Angelica is an individual health care provider with primary practice located at 722 Medical Center Dr E Ste 101 , Clovis CA 93611-6810. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty.

Contact Information

Primary practice address
722 Medical Center Dr E Ste 101 Clovis CA 93611-6810
Phone:
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP9298 California

Profile Details

NPI number 1336268499
LBN Legal business name De Leon Renteria, Angelica
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Aug 2nd, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336268499 NPPES
California Other NP9298 CA NP LIC#

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