Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 14941 | CA |
NPI | 1043318496 |
---|---|
Provider Name | Ms. Deborah Mariko Tsunoda |
First Address | Sherman Oaks, CA 91403 |
Second Address | Mission Hills, CA 91345-1207 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 08/07/2007 |