Raju, Marilisa

Raju, Marilisa is an sole proprietor health care provider with primary practice located at 12625 Frederick Street #I5-150, Moreno Valley CA 92553-5216. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Raju, Marilisa can be contacted via phone (909) 206-5219.

Contact Information

Primary practice address
12625 Frederick Street #I5-150 Moreno Valley CA 92553-5216
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY33513 California

Profile Details

NPI number 1689131682
LBN Legal business name Raju, Marilisa
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2019
Last updated Apr 25th, 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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