Edmund, Keandrea
Edmund, Keandrea is an individual health care provider with primary practice located at 222 E Main St Ste 117 , Barstow CA 92311-2361. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Edmund, Keandrea can be contacted via phone (760) 255-1496.Contact Information
Primary practice address
222 E Main St Ste 117
Barstow CA 92311-2361
Phone: (760) 255-1496
Fax: (760) 513-4675
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1033570403 |
|---|---|
| LBN Legal business name | Edmund, Keandrea |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2016 |
| Last updated | Mar 14th, 2016 - about 8 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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