Roselles, Kimithy

Roselles, Kimithy is an individual health care provider with primary practice located at 4545 Georgetown Pl Ste D , Stockton CA 95207-6229. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Roselles, Kimithy can be contacted via phone (209) 269-5587.

Contact Information

Primary practice address
4545 Georgetown Pl Ste D Stockton CA 95207-6229
Phone: (209) 269-5587
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1184386930
LBN Legal business name Roselles, Kimithy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2021
Last updated Dec 26th, 2023 - about 2 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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