Potasi, Destani Rovine
Potasi, Destani Rovine is an individual health care provider with primary practice located at 17911 La Salle Ave , Gardena CA 90248-3604. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Potasi, Destani Rovine can be contacted via phone (310) 866-8453.Contact Information
Primary practice address
17911 La Salle Ave
Gardena CA 90248-3604
Phone: (310) 866-8453
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | MPSS-GSDUMR | California |
Profile Details
| NPI number | 1245085455 |
|---|---|
| LBN Legal business name | Potasi, Destani Rovine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2024 |
| Last updated | Apr 22nd, 2024 - about 7 months 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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