Lara Maldonado, Fernanda Maria

Lara Maldonado, Fernanda Maria is an individual health care provider with primary practice located at 175 W B St Ste D , Springfield OR 97477-4575. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Nurse's Aide, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Lara Maldonado, Fernanda Maria can be contacted via phone (541) 762-1971.

Contact Information

Primary practice address
175 W B St Ste D Springfield OR 97477-4575
Phone: (541) 762-1971
Fax: (541) 762-1974
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X 201808478CNA Oregon
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1689283483
LBN Legal business name Lara Maldonado, Fernanda Maria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2020
Last updated Jul 28th, 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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