Wasket, Andra Amory

Wasket, Andra Amory is an individual health care provider with primary practice located at 14677 Merrill Ave , Fontana CA 92335-4219. He recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as his primary health care specialty. Wasket, Andra Amory can be contacted via phone (951) 643-2340.

Contact Information

Primary practice address
14677 Merrill Ave Fontana CA 92335-4219
Phone: (951) 643-2340
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X 41806 California

Profile Details

NPI number 1326639964
LBN Legal business name Wasket, Andra Amory
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2021
Last updated Jan 27th, 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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