Individual
KRISTINA SHAHLA KOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3855 HEALTH SCIENCES DR, LA JOLLA, CA 92093-3663
(800) 926-8273
Mailing address
FILE 57326, LOS ANGELES, CA 90074-0001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95023467
CA
Other
Enumeration date
04/17/2023
Last updated
06/28/2024
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