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Individual

CAROLANN HIRAYAMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
160 S 7TH AVE, LA PUENTE, CA 91744-3699
(626) 961-8971
(626) 961-6685
Mailing address
160 S 7TH AVE, LA PUENTE, CA 91744
(626) 961-8971
(626) 961-6685

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
225400000X
Rehabilitation Practitioner

Other

Enumeration date
11/18/2019
Last updated
12/09/2019
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