Distefano, Kamilla Rani

Distefano, Kamilla Rani is an individual health care provider with primary practice located at 257 Normandy Ln , Walnut Creek CA 94598-1227. She recently has only one registered license in Nursing Service Related Providers / Chore Provider, which is considered as her primary health care specialty. Distefano, Kamilla Rani can be contacted via phone (925) 516-6665.

Contact Information

Primary practice address
257 Normandy Ln Walnut Creek CA 94598-1227
Fax: (888) 618-0442
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Chore Provider 372500000X

Profile Details

NPI number 1043663305
LBN Legal business name Distefano, Kamilla Rani
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2016
Last updated Jul 21st, 2016 - 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 1043663305 NPPES
California Other 079200290 LICENSED RCFE CAREHOME

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