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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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