KITA LASTRAPE

BIG BEAR LAKE, CA
NPI1043677289
Former NameKITA STOVALL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  586627)
Enumeration Date2016-01-19
Last Update Date2025-09-17
Business Address
Miss KITA LASTRAPE
41945 BIG BEAR BLVD STE 222
BIG BEAR LAKE, CA 92315-2030
Phone number: 909-866-5070
Mailing Address
Miss KITA LASTRAPE
5957 W 75TH ST
LOS ANGELES, CA 90045-1609
Phone number: 310-567-0037