Norville, Jacinda Danielle

Norville, Jacinda Danielle is an sole proprietor health care provider with primary practice located at 1408 Keystone Dr , San Bernardino CA 92407-5024. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Norville, Jacinda Danielle can be contacted via phone (909) 712-9559.

Contact Information

Primary practice address
1408 Keystone Dr San Bernardino CA 92407-5024
Phone: (909) 712-9559
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X

Profile Details

NPI number 1619658184
LBN Legal business name Norville, Jacinda Danielle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2023
Last updated Jul 27th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619658184 NPPES
California MEDICAID 22

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