Individual
MARINA YUDKOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17753 SHERMAN WAY, RESEDA, CA 91335-3319
(818) 609-7171
Mailing address
17753 SHERMAN WAY, RESEDA, CA 91335-3319
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
D6865
CA
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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