Kendrix, Banchiamlak

Kendrix, Banchiamlak is an individual health care provider with primary practice located at 13666 Lighthouse Ct , Fontana CA 92336-3403. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Kendrix, Banchiamlak can be contacted via phone (909) 509-2214.

Contact Information

Primary practice address
13666 Lighthouse Ct Fontana CA 92336-3403
Phone: (909) 509-2214
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1790445104
LBN Legal business name Kendrix, Banchiamlak
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2021
Last updated Dec 27th, 2021 - about 3 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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