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Individual

THERESA CHARMAINE AUSTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
13963 POLK ST, SYLMAR, CA 91342-2221
(818) 322-6095
Mailing address
13963 POLK ST, SYLMAR, CA 91342-2221
(818) 322-6095

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95017557
CA

Other

Enumeration date
06/23/2021
Last updated
10/27/2023
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