Fomond, Maritza

Fomond, Maritza is an individual health care provider with primary practice located at 9808 Venice Blvd Suite 700, Culver City CA 90232-2732. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Fomond, Maritza can be contacted via phone (310) 253-9494.

Contact Information

Primary practice address
9808 Venice Blvd Suite 700 Culver City CA 90232-2732
Phone: (310) 253-9494
Fax: (310) 253-9495
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 481787 California

Profile Details

NPI number 1437356391
LBN Legal business name Fomond, Maritza
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437356391 NPPES
California Other 481787 REGISTERED NURSING LIC

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