Individual
MS. SHARON ROSE DURIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11721 TELEGRAPH RD, SUITE A, SANTA FE SPRINGS, CA 90670-3674
(562) 949-8455
Mailing address
11721 TELEGRAPH RD, SUITE A, SANTA FE SPRINGS, CA 90670-3674
(562) 949-8455
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT19471
CA
Other
Enumeration date
02/09/2007
Last updated
06/04/2014
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