Individual
THEKLA BRUMDER RON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3330 LOMITA BLVD, TORRANCE, CA 90505-5002
(310) 325-9110
Mailing address
238 N IRENA AVE, REDONDO BEACH, CA 90277-3243
(310) 357-9802
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
571259
CA
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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