Dureault, Ezra Robert Nordin
Dureault, Ezra Robert Nordin is an individual health care provider with primary practice located at 902 S Myrtle Ave , Monrovia CA 91016-3427. He recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as his primary health care specialty. Dureault, Ezra Robert Nordin can be contacted via phone (626) 357-3258.Contact Information
Primary practice address
902 S Myrtle Ave
Monrovia CA 91016-3427
Phone: (626) 357-3258
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Psychiatric Technician | 167G00000X | PT41197 | California |
Profile Details
| NPI number | 1932730454 |
|---|---|
| LBN Legal business name | Dureault, Ezra Robert Nordin |
| Credentials | LPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2020 |
| Last updated | Feb 3rd, 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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