Individual
CLARE KURIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12440 E FIRESTONE BLVD, NORWALK, CA 90650
(866) 263-2993
Mailing address
12440 E FIRESTONE BLVD, NORWALK, CA 90650
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
4055
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
94964565X8
—
CA
Enumeration date
05/14/2018
Last updated
05/14/2018
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