Gradilla, Carolina
Gradilla, Carolina is an sole proprietor health care provider with primary practice located at 14677 Merrill Ave , Fontana CA 92335-4219. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gradilla, Carolina can be contacted via phone (951) 643-2340.Contact Information
Primary practice address
14677 Merrill Ave
Fontana CA 92335-4219
Phone: (951) 643-2340
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ASW93108 | California |
Profile Details
| NPI number | 1356972251 |
|---|---|
| LBN Legal business name | Gradilla, Carolina |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2020 |
| Last updated | Jan 29th, 2020 - about 6 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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