Maravilla, Tonya Marie

Maravilla, Tonya Marie is an individual health care provider with primary practice located at 413 E Dixie Ave Ste 106 , Elizabethtown KY 42701-1162. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Maravilla, Tonya Marie can be contacted via phone (270) 319-9899.

Contact Information

Primary practice address
413 E Dixie Ave Ste 106 Elizabethtown KY 42701-1162
Phone: (270) 319-9899
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 1170044 Kentucky

Profile Details

NPI number 1417585498
LBN Legal business name Maravilla, Tonya Marie
Credentials APSS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2020
Last updated Mar 27th, 2020 - about 5 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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