Individual
TATYANA TRAVKINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 265-5423
Mailing address
287 DURAND WAY, PALO ALTO, CA 94304-2387
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
A113663
CA
208D00000X
General Practice Physician
Primary
ME152294
FL
Other
Enumeration date
11/12/2010
Last updated
12/08/2023
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