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Organization
AJK PERIOPERATIVE NURSING SERVICES INCORPORATED
Active
Organization
AJK PERIOPERATIVE NURSING SERVICES INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMELIA KOLENC (NURSE PRACTITIONER)
(412) 508-0806
Entity
Organization
Contact information
Practice address
30200 AGOURA RD STE 195, AGOURA HILLS, CA 91301-5432
(805) 497-3622
Mailing address
21201 KITTRIDGE ST APT 9406, WOODLAND HILLS, CA 91303-5044
(412) 508-0806
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
—
NULL
163WR0006X
Registered Nurse First Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487150744
—
CA
Enumeration date
07/12/2021
Last updated
07/12/2021
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