Walters Smith, Monquenette Vesha
Walters Smith, Monquenette Vesha is an sole proprietor health care provider with primary practice located at 216 W Harding Way , Stockton CA 95204-5607. She recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as her primary health care specialty. Walters Smith, Monquenette Vesha can be contacted via phone (209) 456-4697.Contact Information
Primary practice address
216 W Harding Way
Stockton CA 95204-5607
Phone: (209) 456-4697
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Prosthetics Case Management | 1744P3200X | KK261564 | California |
Profile Details
| NPI number | 1144709312 |
|---|---|
| LBN Legal business name | Walters Smith, Monquenette Vesha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2018 |
| Last updated | Aug 8th, 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 | 1144709312 | NPPES |
| California | MEDICAID | 30-0730025 |
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