KIANO CHARLES PRATER

SAN DIEGO, CA
NPI1881351336
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WP0809X Registered Nurse Psychiatric/Mental Health, Adult
(Licence: CA  95240918)
Enumeration Date2021-11-18
Last Update Date2021-11-18
Business Address
KIANO CHARLES PRATER
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8232
Mailing Address
KIANO CHARLES PRATER
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8232