Henderson, Kiera A

Henderson, Kiera A is an sole proprietor health care provider with primary practice located at 3025 N Golden Ave Apt 216 , San Bernardino CA 92404-2730. She recently has 5 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Metabolic, Dietary & Nutritional Service Providers / Dietetic Technician, Registered, Other Service Providers / Meals. Other Service Providers / Meals is her primary health care specialty. Henderson, Kiera A can be contacted via phone (909) 269-3506.

Contact Information

Primary practice address
3025 N Golden Ave Apt 216 San Bernardino CA 92404-2730
Phone: (909) 269-3506
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X California
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X California
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X California
Dietary & Nutritional Service Providers / Dietetic Technician, Registered 136A00000X California
Other Service Providers / Meals 174200000X California

Profile Details

NPI number 1831879907
LBN Legal business name Henderson, Kiera A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2023
Last updated Jul 24th, 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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