Maria Eleazar Brooks

Individual provider Active NPI Case Manager/Care Coordinator · Ridgecrest, CA

NPI 1265617427 · NPPES record last updated Jan 7, 2008

Key facts

NPI
1265617427
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
825 N Downs St
Suite a
Ridgecrest, CA 93555-3371
Phone
(760) 375-4357
NPI assigned
Jan 7, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

825 N Downs St
Suite a
Ridgecrest, CA 93555-3371

Mailing address

825 N Downs St
Suite a
Ridgecrest, CA 93555-3371
Phone (760) 375-4357

Other providers in Ridgecrest, CA

All providers in Ridgecrest, CA · Case Manager/Care Coordinator in California

Sources for this page

Verify at the official NPI Registry.