Healthcare Provider Details

I. General information

NPI: 1275154635
Provider Name (Legal Business Name): KAREN ELIZABETH CURRY-COLE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2020
Last Update Date: 04/27/2020
Certification Date: 04/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30500 ARRASTRE CANYON RD
ACTON CA
93510-2160
US

IV. Provider business mailing address

30500 ARRASTRE CANYON RD
ACTON CA
93510-2160
US

V. Phone/Fax

Practice location:
  • Phone: 661-223-8807
  • Fax:
Mailing address:
  • Phone: 661-223-8807
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: