Individual
CAITLIN EILEEN DECOURSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2311 E OCEAN BLVD, LONG BEACH, CA 90803-2443
(949) 878-1862
Mailing address
2311 E OCEAN BLVD, LONG BEACH, CA 90803-2443
(949) 878-1862
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95061105
CA
Other
Enumeration date
10/02/2021
Last updated
10/02/2021
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