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
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