Organization
HAVE NP WILL TRAVEL INC
Active
Organization
HAVE NP WILL TRAVEL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH STEEVES CROTEAU RT (VICE PRESIDENT)
(760) 948-7404
Entity
Organization
Contact information
Practice address
15555 MAIN ST, SUITE D4, HESPERIA, CA 92345-3466
(760) 948-7404
(760) 948-7404
Mailing address
7245 JENKINS AVE, HESPERIA, CA 92345-7216
(760) 948-7404
(760) 948-7404
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
317876
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
317876
ADULT NURSE PRACTITIONER
CA
Enumeration date
03/03/2010
Last updated
05/19/2010
Update your record
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