Street, Wanda Denise

Street, Wanda Denise is an sole proprietor health care provider with primary practice located at 102 W Main St , San Jacinto CA 92583-4121. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Street, Wanda Denise can be contacted via phone (951) 929-2744.

Contact Information

Primary practice address
102 W Main St San Jacinto CA 92583-4121
Phone: (951) 929-2744
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1295918985
LBN Legal business name Street, Wanda Denise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2007
Last updated Dec 17th, 2007 - about 17 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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