Gustafson, Kassidy

Gustafson, Kassidy is an sole proprietor health care provider with primary practice located at 3853 Rosecrans St , San Diego CA 92110-3115. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Psychiatric/Mental Health, Adult. Nursing Service Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Gustafson, Kassidy can be contacted via phone (619) 692-8232.

Contact Information

Primary practice address
3853 Rosecrans St San Diego CA 92110-3115
Phone: (619) 692-8232
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 95187017 California
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 95187017 California

Profile Details

NPI number 1457993461
LBN Legal business name Gustafson, Kassidy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2019
Last updated Dec 24th, 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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