Keita, Ibrahim

Keita, Ibrahim is an sole proprietor health care provider with primary practice located at 2148 Slater St , Santa Rosa CA 95404-2428. He recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as his primary health care specialty. Keita, Ibrahim can be contacted via phone (707) 694-9005.

Contact Information

Primary practice address
2148 Slater St Santa Rosa CA 95404-2428
Phone: (707) 694-9005
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X PT28951 California

Profile Details

NPI number 1184171134
LBN Legal business name Keita, Ibrahim
Credentials LVN/LPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2016
Last updated Sep 7th, 2016 - about 10 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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