Individual
JOANNA KUBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4551 GLENCOE AVE STE 145, MARINA DEL REY, CA 90292-6385
(310) 426-8206
Mailing address
4551 GLENCOE AVE STE 145, MARINA DEL REY, CA 90292-6385
(310) 426-8206
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA63603
CA
Other
Enumeration date
07/05/2022
Last updated
01/17/2024
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