Sierra Medina, Mariangie
Sierra Medina, Mariangie is an sole proprietor health care provider with primary practice located at 411 Spike Ct , Kissimmee FL 34759-4027. 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. Sierra Medina, Mariangie can be contacted via phone (863) 800-4787.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Technician, Other | 247200000X | Florida |
Profile Details
| NPI number | 1902385461 |
|---|---|
| LBN Legal business name | Sierra Medina, Mariangie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 7th, 2018 |
| Last updated | Aug 7th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902385461 | NPPES |
| Florida | MEDICAID | 022005800 |
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