Individual
SUSAN M CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 W HILLCREST DR, THOUSAND OAKS, CA 91320-2734
(805) 498-6470
Mailing address
2089 MONTROSE DR, THOUSAND OAKS, CA 91362-2434
(805) 496-3302
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
18428
CA
Other
Enumeration date
08/21/2012
Last updated
12/02/2021
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