Individual
KUYANN LARISSA THURSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6201 HOLLYWOOD BLVD UNIT 1510, LOS ANGELES, CA 90028-5373
(678) 600-5951
Mailing address
4055 LANKERSHIM BLVD APT 334, STUDIO CITY, CA 91604-3435
(678) 600-5951
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95020545
CA
Other
Enumeration date
04/01/2022
Last updated
10/11/2023
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