Gracia, Kerry Rose

Gracia, Kerry Rose is an sole proprietor health care provider with primary practice located at 845 E Arrow Hwy , Pomona CA 91767-2535. She recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as her primary health care specialty. Gracia, Kerry Rose can be contacted via phone (909) 624-1233.

Contact Information

Primary practice address
845 E Arrow Hwy Pomona CA 91767-2535
Phone: (909) 624-1233
Fax: (909) 621-5999
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1083070510
LBN Legal business name Gracia, Kerry Rose
Credentials M.S.W.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2016
Last updated Jan 13th, 2016 - about 9 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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