Ballesteros, Brenda Carmen

Ballesteros, Brenda Carmen is an individual health care provider with primary practice located at 14677 Merrill Ave , Fontana CA 92335-4219. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Ballesteros, Brenda Carmen can be contacted via phone (951) 643-2340.

Contact Information

Primary practice address
14677 Merrill Ave Fontana CA 92335-4219
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1750973038
LBN Legal business name Ballesteros, Brenda Carmen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2021
Last updated Feb 8th, 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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