Pelayo Barraza, Rosa Maria
Pelayo Barraza, Rosa Maria is an individual health care provider with primary practice located at 3027 W Florida Ave , Hemet CA 92545-3617. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Pelayo Barraza, Rosa Maria can be contacted via phone (951) 330-4618.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X | RDA92155 | California |
Profile Details
| NPI number | 1043879711 |
|---|---|
| LBN Legal business name | Pelayo Barraza, Rosa Maria |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2019 |
| Last updated | Jun 6th, 2019 - about 6 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 | 1043879711 | NPPES |
| California | MEDICAID | 111 |
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