Search › California › 1041C0700X
Kiniko Willingham
NPI 1518384338 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1050 W 91st St
Los Angles, CA 90044 - Phone
- (323) 907-7051
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- CA, PR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-03-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California