Moreno, Mary

Moreno, Mary is an individual health care provider with primary practice located at 225 Redwood St Apt 23 , San Diego CA 92103-5668. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Moreno, Mary can be contacted via phone (619) 643-5334.

Contact Information

Primary practice address
225 Redwood St Apt 23 San Diego CA 92103-5668
Phone: (619) 643-5334
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X 7517414402 California

Profile Details

NPI number 1760037147
LBN Legal business name Moreno, Mary
Credentials HOME CARE AIDE
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2019
Last updated Aug 2nd, 2019 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760037147 NPPES
California Other 7517414402 DEPT OF SOCIAL SERVICES HOME CARE SERVICES BUREAU

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