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
Phone: (310) 309-1644
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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