KITA STOVALL

LOS ANGELES, CA
NPI1043677289
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  586627)
Enumeration Date2016-01-19
Last Update Date2018-06-05
Business Address
Miss KITA STOVALL
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Phone number: 562-295-4617
Mailing Address
Miss KITA STOVALL
5957 W 75TH ST
LOS ANGELES, CA 90045-1609
Phone number: 310-567-0037