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Individual
IVA MARIJA PETROVCHICH COLON
Active
Individual
IVA MARIJA PETROVCHICH COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95138547
CA
363L00000X
Nurse Practitioner
95012389
CA
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
NP95012389
CA
Other
Enumeration date
08/07/2019
Last updated
08/02/2023
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