Individual
SUSIE AN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12555 EUCLID ST APT 35, GARDEN GROVE, CA 92840-5265
(310) 954-9597
(310) 861-8882
Mailing address
12555 EUCLID ST APT 35, GARDEN GROVE, CA 92840-5265
(310) 954-9597
(310) 861-8882
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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