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Individual

KIRA TIAHRT JAMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGPCNP-BC

Contact information

Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(800) 826-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
309080
NY
363LG0600X
Gerontology Nurse Practitioner
Primary
95029757
CA

Other

Enumeration date
03/12/2019
Last updated
08/28/2024
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