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Contact Information

IDA R FIELDS
22131 MIRAMOT RD
APPLE VALLEY, CA92308-7394
 Phone: 760-217-5187
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Homemaker

376J00000X
Indicates primary specialty

NPI Profile & details for IDA R FIELDS · (Female)

NPI Number 1033980941
Status Active
Credentials
Entity Individual
Enumeration date 01/10/2024
Last updated 01/10/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • CA License # E31922210
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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