Sulistiowati, Alfreda

Sulistiowati, Alfreda is an individual health care provider with primary practice located at 24850 Prospect Ave Apt D , Loma Linda CA 92354-2843. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Education, which is considered as her primary health care specialty. Sulistiowati, Alfreda can be contacted via phone (310) 309-1644.

Contact Information

Primary practice address
24850 Prospect Ave Apt D Loma Linda CA 92354-2843
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 1099864 California

Profile Details

NPI number 1699036053
LBN Legal business name Sulistiowati, Alfreda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2012
Last updated Jun 1st, 2012 - about 12 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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