Pacheco, Annelise Glori
Pacheco, Annelise Glori is an individual health care provider with primary practice located at 10930 Terra Vista Pkwy Apt128, Rancho Cucamonga CA 91730-6329. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Pacheco, Annelise Glori can be contacted via phone (951) 463-1602.Contact Information
Primary practice address
10930 Terra Vista Pkwy Apt128
Rancho Cucamonga CA 91730-6329
Phone: (951) 463-1602
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X | 85602 | California |
Profile Details
| NPI number | 1740714633 |
|---|---|
| LBN Legal business name | Pacheco, Annelise Glori |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2017 |
| Last updated | Apr 18th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740714633 | NPPES |
| California | MEDICAID | 85602 |
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