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Individual

EKATERINA DOKUKINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
18607 VENTURA BLVD STE 204, TARZANA, CA 91356-4173
(818) 578-4355
Mailing address
18607 VENTURA BLVD STE 204, TARZANA, CA 91356-4173
(323) 854-0898

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95004245
CA

Other

Enumeration date
04/18/2017
Last updated
03/31/2021
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