Carter, Damiah Monae

Carter, Damiah Monae is an individual health care provider with primary practice located at 25854 Iris Ave Unit C , Moreno Valley CA 92551-2935. She recently has only one registered license in Nursing Service Related Providers / Attendant Care Provider, which is considered as her primary health care specialty. Carter, Damiah Monae can be contacted via phone (951) 210-4214.

Contact Information

Primary practice address
25854 Iris Ave Unit C Moreno Valley CA 92551-2935
Phone: (951) 210-4214
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Attendant Care Provider 3747A0650X F1337780 California

Profile Details

NPI number 1417582297
LBN Legal business name Carter, Damiah Monae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2020
Last updated Mar 11th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417582297 NPPES
California MEDICAID 5302012
California MEDICAID 2104214

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