Shallowhorn, Jontia

Shallowhorn, Jontia is an sole proprietor health care provider with primary practice located at 26929 Nucia Dr , Moreno Valley CA 92555-4983. She recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Other Service Providers / Military Health Care Provider. Agencies / Home Health is her primary health care specialty. Shallowhorn, Jontia can be contacted via phone (661) 492-4743.

Contact Information

Primary practice address
26929 Nucia Dr Moreno Valley CA 92555-4983
Phone: (661) 492-4743
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Other Service Providers / Military Health Care Provider 171000000X B9256240 California

Profile Details

NPI number 1518518745
LBN Legal business name Shallowhorn, Jontia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2019
Last updated Apr 2nd, 2026 - about 6 months 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 1518518745 NPPES
California Other B9256240 CALIFORNIA DRIVER'S LICENSE

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