Smith, Letricia Ladiamond
Smith, Letricia Ladiamond is an sole proprietor health care provider with primary practice located at 26625 Roundup Way , Apple Valley CA 92308-0542. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Smith, Letricia Ladiamond can be contacted via phone (323) 360-3779.Contact Information
Primary practice address
26625 Roundup Way
Apple Valley CA 92308-0542
Phone: (323) 360-3779
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | VN246202 | California |
Profile Details
| NPI number | 1063973022 |
|---|---|
| LBN Legal business name | Smith, Letricia Ladiamond |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2019 |
| Last updated | Mar 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063973022 | NPPES |
| California | MEDICAID | VN246202 |
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