Ellis-Burnett, Kandace Michaele

Ellis-Burnett, Kandace Michaele is an individual health care provider with primary practice located at 3148 Midway Dr Ste 113 , San Diego CA 92110-4539. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Ellis-Burnett, Kandace Michaele can be contacted via phone (619) 363-0853.

Contact Information

Primary practice address
3148 Midway Dr Ste 113 San Diego CA 92110-4539
Phone: (619) 363-0853
Fax: (619) 362-9905
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1215270889
LBN Legal business name Ellis-Burnett, Kandace Michaele
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2013
Last updated May 5th, 2022 - about 4 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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