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: |