Individual
TRACI AKIKO EGUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1821 WILSHIRE BLVD STE 100, SANTA MONICA, CA 90403-5627
(310) 575-3100
(310) 575-3102
Mailing address
1421 10TH ST, MANHATTAN BEACH, CA 90266-6101
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
21966
CA
Other
Enumeration date
05/10/2012
Last updated
03/31/2021
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