Graves, Kiesha

Graves, Kiesha is an individual health care provider with primary practice located at 762 Cypress St , San Dimas CA 91773-3505. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Graves, Kiesha can be contacted via phone (909) 599-1227.

Contact Information

Primary practice address
762 Cypress St San Dimas CA 91773-3505
Phone: (909) 599-1227
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3375 California

Profile Details

NPI number 1356904841
LBN Legal business name Graves, Kiesha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2019
Last updated Apr 19th, 2019 - about 5 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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