Individual provider · Type 1 NPI
Maki Kusunaga, NP-C
Adult Health Nurse Practitioner · San Dimas, CA
NPI number
1811240179
Active
Practice location
400 W Covina Blvd
San Dimas, CA 91773-2954
Fax (909) 971-5841
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 17529 (CA) |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
Other adult health nurse practitioner providers in San Dimas
About NPI 1811240179
Maki Kusunaga, NP-C's National Provider Identifier is 1811240179, issued on Oct 23, 2012. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in San Dimas, CA. The record was last updated on Oct 23, 2012.