Search › California › 2255A2300X
Kyauna Southam, MAT, ATC
NPI 1083247621 · on the registry since 2020
Practice
- Address
- 3351 Inland Empire Blvd Apt 17g
Ontario, CA 91764 - Phone
- (425) 241-7281
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 2255A2300X
390200000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California