Individual
YEVGENIY GLUKHOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18425 BURBANK BLVD, TARZANA, CA 91356-2806
(855) 690-0565
Mailing address
18425 BURBANK BLVD, TARZANA, CA 91356-2806
(855) 690-0565
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95012495
CA
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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