Maravilla, Jesse
Maravilla, Jesse is an individual health care provider with primary practice located at 13341 Garden Grove Blvd , Garden Grove CA 92843-2255. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Maravilla, Jesse can be contacted via phone (714) 750-4097.Contact Information
Primary practice address
13341 Garden Grove Blvd
Garden Grove CA 92843-2255
Phone: (714) 750-4097
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT24990 | California |
Profile Details
| NPI number | 1194870808 |
|---|---|
| LBN Legal business name | Maravilla, Jesse |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Jul 8th, 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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