Individual
EDWARD SHKOLNIKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4972 W PICO BLVD, SUUITE# 208, LOS ANGELES, CA 90019-4200
(310) 883-5728
Mailing address
4972 W PICO BLVD, SUUITE# 208, LOS ANGELES, CA 90019-4200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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