Provider Information for 1962044958
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LAURA DRUCKER
Sex: Female
NPI: 1962044958
Last Updated: 2024-02-10
Certification Date: 2024-02-10
Certification Date: 2024-02-10
Details
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NPI | 1962044958 | ||||||||
Enumeration Date | 2019-10-11 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 7909 WALERGA RD STE 112-1294 ANTELOPE, CA 95843-5727 United States Phone: 916-520-4536 | Fax: | ||||||||
Primary Practice Address | 7909 WALERGA RD STE 112-1294 ANTELOPE, CA 95843-5727 United States Phone: 916-520-4536 | Fax: | ||||||||
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