Parra Terrazas, Jessica

Parra Terrazas, Jessica is an individual health care provider with primary practice located at 763 Rio Rancho Rd Suite 120, Pomona CA 91766-7015. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Parra Terrazas, Jessica can be contacted via phone (909) 766-1922.

Contact Information

Primary practice address
763 Rio Rancho Rd Suite 120 Pomona CA 91766-7015
Phone: (909) 766-1922
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X RDA87172 California

Profile Details

NPI number 1982139143
LBN Legal business name Parra Terrazas, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2017
Last updated Apr 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982139143 NPPES
California MEDICAID RDA87172

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