Individual
MRS. MYRNA CHIYENO DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
4655 RUFFNER ST, SUITE 270, SAN DIEGO, CA 92111-2275
(800) 787-6787
(800) 787-6762
Mailing address
2848 EXPOSITION BLVD APT 2, SANTA MONICA, CA 90404-5074
(310) 829-5696
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
171
CA
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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