Individual
MARIA DUKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 RED COAT PL, IRVINE, CA 92602-0719
(714) 734-6965
Mailing address
12 RED COAT PL, IRVINE, CA 92602-0719
(714) 734-6965
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA289
CA
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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