Kim, Michelle Lara

Kim, Michelle Lara is an sole proprietor health care provider with primary practice located at 9161 Sierra Ave Suite 111, Fontana CA 92335-4729. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Kim, Michelle Lara can be contacted via phone (909) 427-4073.

Contact Information

Primary practice address
9161 Sierra Ave Suite 111 Fontana CA 92335-4729
Phone: (909) 427-4073
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X OT 2282 California

Profile Details

NPI number 1851535413
LBN Legal business name Kim, Michelle Lara
Credentials O.T.R./L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2009
Last updated Nov 18th, 2021 - about 5 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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