KATHRYN DYAN FUKUMOTO

LOS ANGELES, CA
NPI1144989807
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CA  95001624)
Enumeration Date2021-12-09
Last Update Date2022-03-29
Business Address
KATHRYN DYAN FUKUMOTO
4867 W SUNSET BLVD
LOS ANGELES, CA 90027-5969
Phone number: 833-574-2273
Mailing Address
KATHRYN DYAN FUKUMOTO
4437 CASA GRANDE CIR APT 372
CYPRESS, CA 90630-6115
Phone number: 310-991-7579