Kitilya, Redistard Geofrey

Kitilya, Redistard Geofrey is an sole proprietor health care provider with primary practice located at 7891 El Dorado St , Fontana CA 92336-3734. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Kitilya, Redistard Geofrey can be contacted via phone (909) 973-0921.

Contact Information

Primary practice address
7891 El Dorado St Fontana CA 92336-3734
Phone: (909) 973-0921
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 118660 California

Profile Details

NPI number 1013547447
LBN Legal business name Kitilya, Redistard Geofrey
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2020
Last updated Jan 24th, 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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