SHO KITADA

FONTANA, CA
NPI1871145797
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  41070)
Enumeration Date2019-07-11
Last Update Date2019-07-11
Business Address
SHO KITADA
14677 MERRILL AVE.
FONTANA, CA 92335
Phone number: 951-643-2340
Mailing Address
SHO KITADA
2126 EADBURY AVE
ROWLAND HEIGHTS, CA 91748-4030
Phone number: