Flores, Mary Grace
Flores, Mary Grace is an sole proprietor health care provider with primary practice located at 2292 Peach Tree Ln , Spring Valley CA 91977-7046. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Flores, Mary Grace can be contacted via phone (619) 465-1190.Contact Information
Primary practice address
2292 Peach Tree Ln
Spring Valley CA 91977-7046
Phone: (619) 465-1190
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Vocational Nurse | 164X00000X | VN216240 | California |
Profile Details
| NPI number | 1699859827 |
|---|---|
| LBN Legal business name | Flores, Mary Grace |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699859827 | NPPES |
| California | Other | EPS015330 | MEDI-CAL PROVIDER NUMBER |
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