Individual
MISS KITA LASTRAPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41945 BIG BEAR BLVD STE 222, BIG BEAR LAKE, CA 92315-2030
(909) 866-5070
Mailing address
5957 W 75TH ST, LOS ANGELES, CA 90045-1609
(310) 567-0037
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
586627
CA
Other
Enumeration date
01/19/2016
Last updated
09/17/2025
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