Individual
KIEARA MARIE CURTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1461 LOUDEN LN, IMPERIAL BEACH, CA 91932-3244
(619) 952-0770
Mailing address
2920 BRIARWOOD RD UNIT J13, BONITA, CA 91902-1825
(619) 857-6336
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D4755344
DRIVER LICENSE
CA
Enumeration date
08/24/2021
Last updated
08/25/2021
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