Individual
LETICIA KOUCHAK-EFTEKHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 W MAPLE AVE, MONROVIA, CA 91016-3332
(626) 256-1647
Mailing address
25439 DOYLE CT, STEVENSON RANCH, CA 91381-1550
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
414975
CA
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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