Kolesiak, Amy Lauren

Kolesiak, Amy Lauren is an sole proprietor health care provider with primary practice located at 10565 Civic Center Dr Bldg Suite165 , Rancho Cucamonga CA 91730-3853. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Kolesiak, Amy Lauren can be contacted via phone (909) 985-2211.

Contact Information

Primary practice address
10565 Civic Center Dr Bldg Suite165 Rancho Cucamonga CA 91730-3853
Phone: (909) 985-2211
Fax: (909) 985-2244
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 95010259 California

Profile Details

NPI number 1417137571
LBN Legal business name Kolesiak, Amy Lauren
Credentials N.P.-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2007
Last updated Apr 9th, 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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