Siazon, Donna Mirote

Siazon, Donna Mirote is an individual health care provider with primary practice located at 1800 Western Ave Ste 303 , San Bernardino CA 92411-1354. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Siazon, Donna Mirote can be contacted via phone (909) 887-6715.

Contact Information

Primary practice address
1800 Western Ave Ste 303 San Bernardino CA 92411-1354
Phone: (909) 887-6715
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95013252 California

Profile Details

NPI number 1952946618
LBN Legal business name Siazon, Donna Mirote
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2019
Last updated Nov 16th, 2019 - about 5 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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