Provider Demographics
NPI:1952945990
Name:FIGUEROA, KATHERINE EMILY
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:EMILY
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6106 VINEVALE AVE
Mailing Address - Street 2:
Mailing Address - City:MAYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90270-3317
Mailing Address - Country:US
Mailing Address - Phone:323-519-7927
Mailing Address - Fax:
Practice Address - Street 1:6106 VINEVALE AVE
Practice Address - Street 2:
Practice Address - City:MAYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90270-3317
Practice Address - Country:US
Practice Address - Phone:323-519-7927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-02
Last Update Date:2019-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty