Eubanks, Keyah

Eubanks, Keyah is an sole proprietor health care provider with primary practice located at 12987 Clovis Ct , Hesperia CA 92344-5528. She recently has 7 registered licenses in different health care specialties including Other Service Providers / Driver, Technologists, Technicians & Other Technical Service Providers / Medical Technologist, Dental Providers / Dental Assistant, Technologists, Technicians & Other Technical Service Providers / Microbiology, Technologists, Technicians & Other Technical Service Providers / Medical Laboratory, Technologists, Technicians & Other Technical Service Providers / Phlebotomy, Transportation Services / Transportation Broker. Other Service Providers / Driver is her primary health care specialty. Eubanks, Keyah can be contacted via phone (562) 507-6605.

Contact Information

Primary practice address
12987 Clovis Ct Hesperia CA 92344-5528
Phone: (562) 507-6605
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X
Technologists, Technicians & Other Technical Service Providers / Medical Technologist 246QM0706X
Dental Providers / Dental Assistant 126800000X
Technologists, Technicians & Other Technical Service Providers / Microbiology 246QM0900X
Technologists, Technicians & Other Technical Service Providers / Medical Laboratory 246RM2200X
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X
Transportation Services / Transportation Broker 347E00000X

Profile Details

NPI number 1124540406
LBN Legal business name Eubanks, Keyah
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2017
Last updated Jul 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124540406 NPPES
California MEDICAID 0000

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