Individual
SUSAN S HARADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MN, NP, COHN-S
Contact information
Practice address
405 BEDFORD PL, THOUSAND OAKS, CA 91360-5329
(805) 497-2586
Mailing address
405 BEDFORD PL, THOUSAND OAKS, CA 91360-5329
(805) 497-2586
Taxonomy
Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
RN 454758
CA
Other
Enumeration date
06/03/2011
Last updated
06/03/2011
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