Mbawa, Isata S

Mbawa, Isata S is an individual health care provider with primary practice located at 4987 Speak Ln , San Jose CA 95118-2767. She recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as her primary health care specialty. Mbawa, Isata S can be contacted via phone (408) 417-1164.

Contact Information

Primary practice address
4987 Speak Ln San Jose CA 95118-2767
Phone: (408) 417-1164
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X 37848 California

Profile Details

NPI number 1346754025
LBN Legal business name Mbawa, Isata S
Credentials LPT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2017
Last updated Nov 16th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346754025 NPPES
California Other 16127819 KAISER PERMANENTE

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