Killion, Mitsu Marie
Killion, Mitsu Marie is an sole proprietor health care provider with primary practice located at 1873 Commercenter W , San Bernardino CA 92408-3303. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Killion, Mitsu Marie can be contacted via phone (909) 890-5511.Contact Information
Primary practice address
1873 Commercenter W
San Bernardino CA 92408-3303
Phone: (909) 890-5511
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 19552 | California |
Profile Details
| NPI number | 1245408558 |
|---|---|
| LBN Legal business name | Killion, Mitsu Marie |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2008 |
| Last updated | Feb 20th, 2008 - about 17 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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