Ajonghage, Prisca
Ajonghage, Prisca is an sole proprietor health care provider with primary practice located at 17470 W Ventura St , Surprise AZ 85388-7806. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Ajonghage, Prisca can be contacted via phone (408) 597-5067.Contact Information
Primary practice address
17470 W Ventura St
Surprise AZ 85388-7806
Phone: (408) 597-5067
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 254054 | Arizona |
Profile Details
| NPI number | 1831783679 |
|---|---|
| LBN Legal business name | Ajonghage, Prisca |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 23rd, 2021 |
| Last updated | Feb 23rd, 2021 - about 5 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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