Perez, Nicanora Andazola

Perez, Nicanora Andazola is an sole proprietor health care provider with primary practice located at 251 Llewellyn Ave # 408379 , Campbell CA 95008-1940. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Community Health Worker, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Perez, Nicanora Andazola can be contacted via phone (408) 379-3790.

Contact Information

Primary practice address
251 Llewellyn Ave # 408379 Campbell CA 95008-1940
Phone: (408) 379-3790
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1194327676
LBN Legal business name Perez, Nicanora Andazola
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2020
Last updated Jul 7th, 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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