Individual
MISS MARIA CUSTURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6924 LAUREL OAK WAY, FAIR OAKS, CA 95628-3108
(191) 659-5573
Mailing address
6924 LAUREL OAK WAY, FAIR OAKS, CA 95628-3108
(916) 595-5738
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
342700811
CA
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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