Guerrero, Mary Jane
Guerrero, Mary Jane is an sole proprietor health care provider with primary practice located at 11257 Rudman Dr , Culver City CA 90230-5503. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Guerrero, Mary Jane can be contacted via phone (714) 318-4579.Contact Information
Primary practice address
11257 Rudman Dr
Culver City CA 90230-5503
Phone: (714) 318-4579
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 95001379 | California |
| Nursing Service Providers / Registered Nurse | 163W00000X | 685076 | California |
Profile Details
| NPI number | 1316484793 |
|---|---|
| LBN Legal business name | Guerrero, Mary Jane |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2017 |
| Last updated | Jan 24th, 2017 - about 9 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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