Glenn, Genevra Diana
Glenn, Genevra Diana is an individual health care provider with primary practice located at 2781 W Ramsey Suite 1, Banning CA 92220. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Glenn, Genevra Diana can be contacted via phone (951) 849-3896.Contact Information
Primary practice address
2781 W Ramsey Suite 1
Banning CA 92220
Phone: (951) 849-3896
Fax: (951) 849-0506
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 11980613 | California |
Profile Details
| NPI number | 1861810244 |
|---|---|
| LBN Legal business name | Glenn, Genevra Diana |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2014 |
| Last updated | Apr 2nd, 2014 - about 11 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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