Organization
KERRY PITTER ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLIN HEISLMAN (OWNER)
(310) 721-7299
Entity
Organization
Contact information
Practice address
10685 COLOMA RD APT 39, RANCHO CORDOVA, CA 95670-4030
(310) 721-7299
Mailing address
10685 COLOMA RD APT 39, RANCHO CORDOVA, CA 95670-4030
(310) 721-7299
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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