Individual
JEFFRY KUTHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
40 MARINA LAKES DR, RICHMOND, CA 94804-7448
(216) 870-7615
Mailing address
40 MARINA LAKES DR, RICHMOND, CA 94804-7448
(216) 870-7615
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
808932
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95000687
CA
Other
Enumeration date
02/13/2017
Last updated
02/11/2022
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