Prudencio, Jerome

Prudencio, Jerome is an individual health care provider with primary practice located at 8816 La Riviera Dr Unit D , Sacramento CA 95826-2075. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as his primary health care specialty. Prudencio, Jerome can be contacted via phone (310) 502-8089.

Contact Information

Primary practice address
8816 La Riviera Dr Unit D Sacramento CA 95826-2075
Phone: (310) 502-8089
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1669082434
LBN Legal business name Prudencio, Jerome
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2020
Last updated Aug 5th, 2020 - about 4 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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