Edades, Fairy Ancheta
Edades, Fairy Ancheta is an individual health care provider with primary practice located at 10400 Arrow Rte Apt V5 , Rancho Cucamonga CA 91730-4782. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Edades, Fairy Ancheta can be contacted via phone (909) 948-0879.Contact Information
Primary practice address
10400 Arrow Rte Apt V5
Rancho Cucamonga CA 91730-4782
Phone: (909) 948-0879
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | AT8356 | California |
Profile Details
NPI number | 1679690564 |
---|---|
LBN Legal business name | Edades, Fairy Ancheta |
Credentials | Physical Therapist Assistant (PTA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 23rd, 2007 |
Last updated | Jul 8th, 2007 - about 18 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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