Manriquez, Elicia Marie
Manriquez, Elicia Marie is an individual health care provider with primary practice located at 3201 Pullman Ave Apt 104 , Richmond CA 94804-3174. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Manriquez, Elicia Marie can be contacted via phone (510) 383-6699.Contact Information
Primary practice address
3201 Pullman Ave Apt 104
Richmond CA 94804-3174
Phone: (510) 383-6699
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 101YS0200X | California |
Profile Details
| NPI number | 1235702747 |
|---|---|
| LBN Legal business name | Manriquez, Elicia Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2021 |
| Last updated | Jul 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235702747 | NPPES |
| California | MEDICAID | BLUECROSS |
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