Wattimena, Johannes

Wattimena, Johannes is an individual health care provider with primary practice located at 26624 Saffron Circle , Moreno Valley CA 92555. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Wattimena, Johannes can be contacted via phone (951) 485-0423.

Contact Information

Primary practice address
26624 Saffron Circle Moreno Valley CA 92555
Phone: (951) 485-0423
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1215419668
LBN Legal business name Wattimena, Johannes
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2018
Last updated Sep 26th, 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.

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