Katisi, Stella Grace

Katisi, Stella Grace is an individual health care provider with primary practice located at 490 S Main St , Fort Bragg CA 95437-4806. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Katisi, Stella Grace can be contacted via phone (707) 964-1848.

Contact Information

Primary practice address
490 S Main St Fort Bragg CA 95437-4806
Phone: (707) 964-1848
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 026966 Maryland
Pharmacy Service Providers / Pharmacist 183500000X 0202218297 Virginia
Pharmacy Service Providers / Pharmacist 183500000X 81824 California

Profile Details

NPI number 1750921458
LBN Legal business name Katisi, Stella Grace
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2020
Last updated Jan 9th, 2020 - about 4 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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