Individual
LIVIA CSONKA MARTA PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1517 W GARVEY AVE N, WEST COVINA, CA 91790-2138
(626) 962-6061
Mailing address
2552 1/2 N TOWNE AVE, POMONA, CA 91767-2251
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
759829
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95001053
CA
Other
Enumeration date
02/21/2014
Last updated
09/24/2014
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