Individual
MRS. KEYAH EUBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12987 CLOVIS CT, HESPERIA, CA 92344-5528
(562) 507-6605
Mailing address
12987 CLOVIS CT, HESPERIA, CA 92344
(562) 507-6605
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
—
—
172A00000X
Driver
—
—
246QM0706X
Medical Technologist
—
—
246QM0900X
Microbiology Specialist/Technologist
—
—
246RM2200X
Medical Laboratory Technician
—
—
246RP1900X
Phlebotomy Technician
Primary
—
—
347E00000X
Transportation Broker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000
—
CA
Enumeration date
07/08/2017
Last updated
09/11/2025
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