Montoya, Jennie Lupe

Montoya, Jennie Lupe is an sole proprietor health care provider with primary practice located at 1212 N California St , Stockton CA 95202-1552. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Montoya, Jennie Lupe can be contacted via phone (209) 468-8486.

Contact Information

Primary practice address
1212 N California St Stockton CA 95202-1552
Fax: (209) 468-3516
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1073636528
LBN Legal business name Montoya, Jennie Lupe
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2007
Last updated Dec 18th, 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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