Provencio, Dora

Provencio, Dora is an sole proprietor health care provider with primary practice located at 7300 N Fresno St , Fresno CA 93720-2941. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Provencio, Dora can be contacted via phone (559) 448-3612.

Contact Information

Primary practice address
7300 N Fresno St Fresno CA 93720-2941
Phone: (559) 448-3612
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 8793 California

Profile Details

NPI number 1306055447
LBN Legal business name Provencio, Dora
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2007
Last updated Jul 8th, 2007 - about 18 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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