KUSUM LATA

STOCKTON, CA
NPI1477884161
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: CA  A110487)
Additional Taxonomies207R00000X Internal Medicine
(Licence: CA  A 110487)
Enumeration Date2010-01-20
Last Update Date2016-09-01
Business Address
-- KUSUM LATA M.D
1801 E MARCH LN #A-170
STOCKTON, CA 95210-6629
Phone number: 209-951-9885
Mailing Address
-- KUSUM LATA M.D
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-521-6097