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Miss Maki Kusunaga, NP-C
Adult Health Nurse Practitioner in San Dimas, California
NPI 1811240179

Maki Kusunaga is an Adult Health Nurse Practitioner based in San Dimas, CA and is specialized in Adult Health. Maki Kusunaga practices in San Dimas, CA and has the professional credentials of NP-C. The NPI Number for Maki Kusunaga is 1811240179 and holds a License No. 17529 (California).

The current practice location address for Maki Kusunaga is 400 W Covina Blvd, San Dimas, CA and can be reached out via phone at 909-592-6411 and via fax at 909-971-5841.

Location: 400 W Covina Blvd, San Dimas, CA, 91773-2954
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811240179
Provider Name
Maki Kusunaga
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
400 W Covina Blvd, San Dimas, CA, 91773-2954
Phone Number
909-592-6411
Fax Number
909-971-5841
Provider Enumeration Date
10/23/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
400 W Covina Blvd
City
San Dimas
State
California
Zip
91773-2954
Phone Number
909-592-6411
Fax Number
909-971-5841
person
Provider Business Mailing Address Details
Address
400 W Covina Blvd
City
San Dimas
State
California
Zip
91773-2954
Phone Number
909-592-6411
Fax Number
909-971-5841
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
17529 (California)
Definition
Definition to come...
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