Individual
MRS. LETICIA L BURDUMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R..N
Contact information
Practice address
117 W BUNNY AVE, SANTA MARIA, CA 93458-2805
(805) 739-3890
Mailing address
791 PRICE ST # 192, PISMO BEACH, CA 93449-2529
(805) 773-4818
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
318745
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
318745
R.N. LICENSE
CA
Enumeration date
01/10/2008
Last updated
01/10/2008
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