KASIANI GOUNTOUMAS

SANTA MONICA, CA
NPI1194180646
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  15137)
Enumeration Date2015-12-29
Last Update Date2015-12-29
Business Address
-- KASIANI GOUNTOUMAS
1900 PICO BLVD
SANTA MONICA, CA 90405-1628
Phone number: 310-434-4262
Mailing Address
-- KASIANI GOUNTOUMAS
8421 CARLTON WAY
LOS ANGELES, CA 90069
Phone number: 310-648-4802