Individual
LEAH KUPKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-2440
Mailing address
42970 CORTE SALAMANCA, TEMECULA, CA 92592-3721
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95167396
CA
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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