Justiniani, Mary Grace Cabatas
Justiniani, Mary Grace Cabatas is an individual health care provider with primary practice located at 14044 Victory Blvd , Van Nuys CA 91401-2226. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Justiniani, Mary Grace Cabatas can be contacted via phone (818) 376-0405.Contact Information
Primary practice address
14044 Victory Blvd
Van Nuys CA 91401-2226
Phone: (818) 376-0405
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA 17249 | California |
Profile Details
| NPI number | 1619012689 |
|---|---|
| LBN Legal business name | Justiniani, Mary Grace Cabatas |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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