Redistard Geofrey Kitilya Valid NPI

Individual provider · Licensed Vocational Nurse · Fontana, CA

NPI

1013547447

Type

Individual (Type 1)

Primary specialty

Licensed Vocational Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164X00000X

License number

118660 (CA)

Sex

Female

Sole proprietor

Yes

Enumerated

2020-01-24

Last updated

2020-01-24