Medina, Marisol

Medina, Marisol is an individual health care provider with primary practice located at 9412 Big Horn Blvd , Elk Grove CA 95758-1101. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Medina, Marisol can be contacted via phone (916) 226-2812.

Contact Information

Primary practice address
9412 Big Horn Blvd Elk Grove CA 95758-1101
Phone: (916) 226-2812
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Community Health Worker 172V00000X California

Profile Details

NPI number 1790430767
LBN Legal business name Medina, Marisol
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2022
Last updated Sep 15th, 2023 - about last year

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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