Individual
INNA SHKOLNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1337 24TH AVE, SAN FRANCISCO, CA 94122-1616
(415) 665-7744
Mailing address
1337 24TH AVE, SAN FRANCISCO, CA 94122-1616
(415) 665-7744
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTN01170F
—
CA
Enumeration date
10/23/2006
Last updated
07/09/2007
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