Individual
KAREN DECLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5059 YORK BLVD, HIGHLAND PARK, CA 90042-1713
(323) 344-4144
(323) 344-4146
Mailing address
801 S CHEVY CHASE DR, #20, GLENDALE, CA 91205-4431
(818) 755-8000
(818) 755-8006
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA20524
CA
Other
Enumeration date
10/02/2009
Last updated
01/30/2013
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