Individual
ALBINA SUPRUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RCP
Contact information
Practice address
19124 HAMLIN ST UNIT 5, RESEDA, CA 91335-5838
(323) 630-2102
Mailing address
19124 HAMLIN ST UNIT 5, RESEDA, CA 91335-5838
(323) 630-2102
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
29164
CA
Other
Enumeration date
01/26/2011
Last updated
01/26/2011
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