Crandall, Fonda

Crandall, Fonda is an sole proprietor health care provider with primary practice located at 1481 Windsor Dr , San Bernardino CA 92404-5416. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Crandall, Fonda can be contacted via phone (909) 361-6472.

Contact Information

Primary practice address
1481 Windsor Dr San Bernardino CA 92404-5416
Phone: (909) 361-6472
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1487116646
LBN Legal business name Crandall, Fonda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2019
Last updated Apr 4th, 2019 - 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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