Hernandez, Marialisa Shirley
Hernandez, Marialisa Shirley is an individual health care provider with primary practice located at 309 E Mountain View St Ste 100 , Barstow CA 92311-2814. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Hernandez, Marialisa Shirley can be contacted via phone (760) 256-7279.Contact Information
Primary practice address
309 E Mountain View St Ste 100
Barstow CA 92311-2814
Phone: (760) 256-7279
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1700432598 |
|---|---|
| LBN Legal business name | Hernandez, Marialisa Shirley |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2019 |
| Last updated | Aug 28th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700432598 | NPPES |
| California | Other | 1184061210 | MENTAL HEALTH |
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