Razo, Destiny Rae

Razo, Destiny Rae is an individual health care provider with primary practice located at 40 W G St , Los Banos CA 93635-3657. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Razo, Destiny Rae can be contacted via phone (209) 381-6800.

Contact Information

Primary practice address
40 W G St Los Banos CA 93635-3657
Fax: (209) 725-3963
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X California

Profile Details

NPI number 1114602075
LBN Legal business name Razo, Destiny Rae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2023
Last updated Jun 19th, 2023 - about 2 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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