Collins, Tarita Lillian
Collins, Tarita Lillian is an individual health care provider with primary practice located at 233 Base Line Rd , La Verne CA 91750-2353. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Collins, Tarita Lillian can be contacted via phone (909) 593-2581.Contact Information
Primary practice address
233 Base Line Rd
La Verne CA 91750-2353
Phone: (909) 593-2581
Fax: (909) 596-8826
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Vocational Nurse | 164X00000X | VN218352 | California |
Profile Details
| NPI number | 1720284722 |
|---|---|
| LBN Legal business name | Collins, Tarita Lillian |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720284722 | NPPES |
| California | Other | 7565A | OUTPATIENT MENTAL HEALTH |
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