Gonzalez, Selene Veronica

Gonzalez, Selene Veronica is an sole proprietor health care provider with primary practice located at 5242 W Jessica Ln , Laveen AZ 85339-2447. She recently has 5 registered licenses in different health care specialties including Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Day Training/Habilitation Specialist, Nursing Service Related Providers / Attendant Care Provider, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Attendant Care Provider is her primary health care specialty. Gonzalez, Selene Veronica can be contacted via phone (602) 753-8389.

Contact Information

Primary practice address
5242 W Jessica Ln Laveen AZ 85339-2447
Phone: (602) 753-8389
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Chore Provider 372500000X
Nursing Service Related Providers / Adult Companion 372600000X
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X
Nursing Service Related Providers / Attendant Care Provider 3747A0650X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1144660994
LBN Legal business name Gonzalez, Selene Veronica
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2013
Last updated May 29th, 2014 - about 10 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 1144660994 NPPES
Arizona MEDICAID 871070

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