Herriman, Decislava Petrova
Herriman, Decislava Petrova is an individual health care provider with primary practice located at 44871 Saint Andrews Church Road , California MD 20619. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Herriman, Decislava Petrova can be contacted via phone (301) 997-1300.Contact Information
Primary practice address
44871 Saint Andrews Church Road
California MD 20619
Phone: (301) 997-1300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ADT2472 | Maryland |
Profile Details
| NPI number | 1013683663 |
|---|---|
| LBN Legal business name | Herriman, Decislava Petrova |
| Credentials | ADT2472 |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2021 |
| Last updated | Aug 23rd, 2021 - about 5 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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