Vizcarra, Evedarda Melissa

Vizcarra, Evedarda Melissa is an individual health care provider with primary practice located at 841 San Bruno Ave W Rm 1 , San Bruno CA 94066-3437. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Vizcarra, Evedarda Melissa can be contacted via phone (415) 375-7629.

Contact Information

Primary practice address
841 San Bruno Ave W Rm 1 San Bruno CA 94066-3437
Phone: (415) 375-7629
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X California

Profile Details

NPI number 1093935579
LBN Legal business name Vizcarra, Evedarda Melissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Jul 9th, 2015 - about 11 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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