Individual
BRIANNA AIKO MATSUURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
704 W 8TH ST, SAN PEDRO, CA 90731-3017
(310) 938-6573
Mailing address
15 CAYUSE LN, RANCHO PALOS VERDES, CA 90275-5155
(310) 938-6573
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/30/2008
Last updated
09/29/2009
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