Gonzales, Daiza Janisa

Gonzales, Daiza Janisa is an individual health care provider with primary practice located at 130 South Lincoln , Jerome ID 83338. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Gonzales, Daiza Janisa can be contacted via phone (385) 319-0395.

Contact Information

Primary practice address
130 South Lincoln Jerome ID 83338
Fax:
Website:

Health care specialties

Profile Details

NPI number 1962266130
LBN Legal business name Gonzales, Daiza Janisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2024
Last updated Feb 8th, 2024 - about 9 months 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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