San Ramos, Mayelin

San Ramos, Mayelin is an individual health care provider with primary practice located at 3033 S Military Trl Lot 30 , Lake Worth FL 33463-2107. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. San Ramos, Mayelin can be contacted via phone (561) 386-3369.

Contact Information

Primary practice address
3033 S Military Trl Lot 30 Lake Worth FL 33463-2107
Phone: (561) 386-3369
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X Florida

Profile Details

NPI number 1760919294
LBN Legal business name San Ramos, Mayelin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2017
Last updated May 15th, 2017 - about 9 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 1760919294 NPPES
Florida MEDICAID 019142300

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