Maducdoc, Desiree

Maducdoc, Desiree is an sole proprietor health care provider with primary practice located at 1137 N Central Ave Apt 1524 , Glendale CA 91202-3683. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Maducdoc, Desiree can be contacted via phone (702) 334-5517.

Contact Information

Primary practice address
1137 N Central Ave Apt 1524 Glendale CA 91202-3683
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 22850 California

Profile Details

NPI number 1760819866
LBN Legal business name Maducdoc, Desiree
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2013
Last updated Oct 3rd, 2013 - about 12 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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