Ventocilla, Mariela Celeste

Ventocilla, Mariela Celeste is an individual health care provider with primary practice located at 1145 Sturgis Road , Twentynine Palms CA 92277. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is her primary health care specialty. Ventocilla, Mariela Celeste can be contacted via phone (916) 734-2356.

Contact Information

Primary practice address
1145 Sturgis Road Twentynine Palms CA 92277
Phone: (916) 734-2356
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 010127041 Virginia

Profile Details

NPI number 1972846756
LBN Legal business name Ventocilla, Mariela Celeste
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2013
Last updated Sep 23rd, 2022 - about 3 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 1972846756 NPPES
Virginia Other 010127041 LISCENCE NUMBER

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