Individual
JULIA TARVERDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
240 N VIRGIL AVE STE 12, LOS ANGELES, CA 90004-5399
(818) 512-2226
Mailing address
350 SALEM ST UNIT 202, GLENDALE, CA 91203-2511
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95027603
CA
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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