Individual
DEBORAH LEATHA HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
19521 CANEY AVE, CARSON, CA 90746-2418
(310) 608-0331
(310) 635-1340
Mailing address
19521 CANEY AVE, CARSON, CA 90746-2418
(310) 608-0331
(310) 635-1340
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
536
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN2337980
MEDI-CAL
CA
Enumeration date
09/27/2006
Last updated
09/12/2007
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