Individual
MANUEL ROBERT DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
1300 W 7TH ST, SAN PEDRO, CA 90732-3505
(310) 514-5359
Mailing address
1300 W 7TH ST, SAN PEDRO, CA 90732-3505
(310) 514-5359
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
819170
CA
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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