Mamauag, Jodalin Simangan

Mamauag, Jodalin Simangan is an sole proprietor health care provider with primary practice located at 2501 Northview Dr , Sacramento CA 95833-2129. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Mamauag, Jodalin Simangan can be contacted via phone (916) 359-2174.

Contact Information

Primary practice address
2501 Northview Dr Sacramento CA 95833-2129
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X California

Profile Details

NPI number 1164573671
LBN Legal business name Mamauag, Jodalin Simangan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2007
Last updated Jul 8th, 2007 - about 19 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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