Individual provider · Type 1 NPI

Redistard Geofrey Kitilya

Licensed Vocational Nurse · Fontana, CA

NPI number 1013547447 Active

Practice location

7891 El Dorado St
Fontana, CA 92336-3734

Call (909) 973-0921 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X118660 (CA)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1013547447

Redistard Geofrey Kitilya's National Provider Identifier is 1013547447, issued on Jan 24, 2020. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Fontana, CA. The record was last updated on Jan 24, 2020.