Doctor Name: | MISS CHRISTINE EUNICE KURUNATHAN |
NPI Number: | 1003927385 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 528221 |
Business Practice Address: | 11034 Veach St Loma Linda, CA - 923546528 |
Business Phone Number: | 9098257084 |
Business Fax Number: | 9097773291 |
Mailing Address: | 11034 Veach St, LOMA LINDA |
State: | CA |
Postal Code: | 923546528 |
Phone Number: | 9098257084 |
Fax Number: | 9097773291 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 528221 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |