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Individual

MRS. DEBRA E TERAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
11661 WALLINGSFORD RD, LOS ALAMITOS, CA 90720-3844
(562) 221-5532
Mailing address
11661 WALLINGSFORD RD, LOS ALAMITOS, CA 90720-3844
(562) 221-5532

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
257366
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
257366
REGISTERED NURSE
CA
Enumeration date
01/19/2021
Last updated
01/19/2021
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