Vigilante, Michelle Nicole

Vigilante, Michelle Nicole is an individual health care provider with primary practice located at 9500 Haven Ave Ste 160 , Rancho Cucamonga CA 91730-5839. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Vigilante, Michelle Nicole can be contacted via phone (909) 994-1286.

Contact Information

Primary practice address
9500 Haven Ave Ste 160 Rancho Cucamonga CA 91730-5839
Phone: (909) 994-1286
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1780349563
LBN Legal business name Vigilante, Michelle Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2021
Last updated May 28th, 2024 - about 7 months 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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