Most Relevant Information
Provider Data
| NPI Number: | 1003294612 |
| Provider Name: | KATHERINE DEBUAYAN |
| Entity Type: | Individual |
| Taxonomy Code: | 164X00000X |
| Specialty: | Licensed Vocational Nurse |
| License Number: | 201063 |
Most Important Dates
| Enumeration Date: | 05/14/2015 |
| Last Updated: | 04/09/2018 |
Provider Practice Location
1590 ROSECRANS AVE # D523
MANHATTAN BEACH
CA
902663727
Practice Location Phone/Fax
| Phone: | 7472480152 |
| Fax: |
Provider Mailing Location
1590 ROSECRANS AVE # D523
MANHATTAN BEACH
CA
902663727
Provider Mailing Phone/Fax
| Phone: | 7472480152 |
| Fax: |