Individual
ILANA SHOSHANA KOVACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1255 W 15TH ST STE 1025, PLANO, TX 75075-7253
(972) 673-0404
Mailing address
305 CORDOVA DR, ALLEN, TX 75013-3645
(469) 615-6945
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
948549
TX
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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