Jerideau-Pratt, Gail Dolores

Jerideau-Pratt, Gail Dolores is an sole proprietor health care provider with primary practice located at 30251 Channel Way Dr , Canyon Lake CA 92587-7986. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Jerideau-Pratt, Gail Dolores can be contacted via phone (951) 246-2640.

Contact Information

Primary practice address
30251 Channel Way Dr Canyon Lake CA 92587-7986
Phone: (951) 246-2640
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 459851 California

Profile Details

NPI number 1154517092
LBN Legal business name Jerideau-Pratt, Gail Dolores
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2007
Last updated Sep 24th, 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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