Kennedy, Triretta

Kennedy, Triretta is an individual health care provider with primary practice located at 3751 Stocker St , View Park CA 90008-5101. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Kennedy, Triretta can be contacted via phone (323) 298-3680.

Contact Information

Primary practice address
3751 Stocker St View Park CA 90008-5101
Fax: (323) 292-0053
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1134692601
LBN Legal business name Kennedy, Triretta
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2019
Last updated Jan 8th, 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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