Individual
GENE CUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 W CARSON ST, TORRANCE, CA 90502-2004
(310) 222-5271
Mailing address
1901 GRAYDON AVE, MONROVIA, CA 91016-4734
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
498609
CA
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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