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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700432598 NPPES
California Other 1184061210 MENTAL HEALTH

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