Martin, Vanissa

Martin, Vanissa is an individual health care provider with primary practice located at 6530 Koki Ln , El Dorado CA 95623-4328. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Martin, Vanissa can be contacted via phone (530) 621-4003.

Contact Information

Primary practice address
6530 Koki Ln El Dorado CA 95623-4328
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X 200163942 California

Profile Details

NPI number 1952114019
LBN Legal business name Martin, Vanissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2025
Last updated Jan 30th, 2025 - about last year

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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