Sierra Medina, Mariangie

Sierra Medina, Mariangie is an sole proprietor health care provider with primary practice located at 411 Spike Ct , Kissimmee FL 34759-4027. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Sierra Medina, Mariangie can be contacted via phone (863) 800-4787.

Contact Information

Primary practice address
411 Spike Ct Kissimmee FL 34759-4027
Fax:
Website:

Health care specialties

Profile Details

NPI number 1902385461
LBN Legal business name Sierra Medina, Mariangie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2018
Last updated Aug 7th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902385461 NPPES
Florida MEDICAID 022005800

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