Escobedo, Mamie Corrina
Escobedo, Mamie Corrina is an individual health care provider with primary practice located at 2370 Skyway Dr Ste 104 , Santa Maria CA 93455-1133. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Escobedo, Mamie Corrina can be contacted via phone (805) 554-3305.Contact Information
Primary practice address
2370 Skyway Dr Ste 104
Santa Maria CA 93455-1133
Phone: (805) 554-3305
Fax: (805) 347-6953
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Community Health Worker | 172V00000X | California | |
Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
NPI number | 1316672439 |
---|---|
LBN Legal business name | Escobedo, Mamie Corrina |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 21st, 2022 |
Last updated | Aug 3rd, 2023 - 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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