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Individual

MRS. HIVA KOLODRUBETZ

Active
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Individual

MRS. HIVA KOLODRUBETZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95070213
CA
163WP2201X
Ambulatory Care Registered Nurse
RN2289237
MA
363LF0000X
Family Nurse Practitioner
Primary
95002980
CA

Other

Enumeration date
01/20/2014
Last updated
08/27/2015
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