Individual
MISS TRACY R KURANAKA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4225 EXECUTIVE SQUARE, #1130, LA JOLLA, CA 92037
(858) 455-9712
(858) 655-9703
Mailing address
4225 EXECUTIVE SQUARE, #1130, LA JOLLA, CA 92037
(858) 455-9712
(858) 655-9703
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
A75170
CA
Other
Enumeration date
04/11/2006
Last updated
07/08/2007
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