Wild, Jerrica Marie

Wild, Jerrica Marie is an individual health care provider with primary practice located at 15301 Warren Shingle Road , Beale Afb CA 95903. She recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as her primary health care specialty. Wild, Jerrica Marie can be contacted via phone (530) 634-4738.

Contact Information

Primary practice address
15301 Warren Shingle Road Beale Afb CA 95903
Phone: (530) 634-4738
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Medical Technicians 1710I1003X

Profile Details

NPI number 1003109844
LBN Legal business name Wild, Jerrica Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2011
Last updated Nov 22nd, 2011 - about 13 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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