Elis, Jade Kenzie

Elis, Jade Kenzie is an sole proprietor health care provider with primary practice located at 14850 Central Ave , Chino CA 91710-9509. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Elis, Jade Kenzie can be contacted via phone (909) 597-0504.

Contact Information

Primary practice address
14850 Central Ave Chino CA 91710-9509
Phone: (909) 597-0504
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X California

Profile Details

NPI number 1396438081
LBN Legal business name Elis, Jade Kenzie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2023
Last updated May 30th, 2023 - about 2 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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