Individual
KATHLEEN RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9808 VENICE BLVD, STE. 505, CULVER CITY, CA 90232-2732
(310) 945-3350
(310) 945-3356
Mailing address
9808 VENICE BLVD, STE. 505, CULVER CITY, CA 90232-2732
(310) 945-3350
(310) 945-3356
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
770078
CA
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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