Edem, Mary
Edem, Mary is an individual health care provider with primary practice located at 190 E Highland Ave , San Bernardino CA 92404-3658. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Edem, Mary can be contacted via phone (909) 882-4788.Contact Information
Primary practice address
190 E Highland Ave
San Bernardino CA 92404-3658
Phone: (909) 882-4788
Fax: (877) 860-7268
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 20107 | California |
Profile Details
NPI number | 1760787030 |
---|---|
LBN Legal business name | Edem, Mary |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 18th, 2011 |
Last updated | Sep 23rd, 2016 - about 8 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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