Tetrault, Debra Denise

Tetrault, Debra Denise is an individual health care provider with primary practice located at 3124 Wiese Way , Sacramento CA 95833. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Tetrault, Debra Denise can be contacted via phone (916) 922-8023.

Contact Information

Primary practice address
3124 Wiese Way Sacramento CA 95833
Phone: (916) 922-8023
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X VN114498 California

Profile Details

NPI number 1740493030
LBN Legal business name Tetrault, Debra Denise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Jul 8th, 2007 - about 19 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 1740493030 NPPES
California Other 5927935 PIN
California Other 012840 PIN

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