Mondragon, Abigail

Mondragon, Abigail is an sole proprietor health care provider with primary practice located at 940 E Williams St Suite 102 , Banning CA 92220. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Mondragon, Abigail can be contacted via phone (951) 588-2553.

Contact Information

Primary practice address
940 E Williams St Suite 102 Banning CA 92220
Phone: (951) 588-2553
Fax: (951) 755-8992
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X MPSS-DCHAEP California

Profile Details

NPI number 1962279695
LBN Legal business name Mondragon, Abigail
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2023
Last updated Jul 9th, 2024 - about 2 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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