Wirth, Donna Grace

Wirth, Donna Grace is an individual health care provider with primary practice located at 12712 Heacock St Ste 6 , Moreno Valley CA 92553-3037. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wirth, Donna Grace can be contacted via phone (951) 571-3540.

Contact Information

Primary practice address
12712 Heacock St Ste 6 Moreno Valley CA 92553-3037
Phone: (951) 571-3540
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1255574554
LBN Legal business name Wirth, Donna Grace
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2009
Last updated Apr 16th, 2009 - about 15 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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