Organization
ANNA MEZENTSEVA, NURSING, INC
Active
Other names
None
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA MEZENTSEVA NP (PRESIDENT)
(661) 309-2094
Entity
Organization
Contact information
Practice address
4949 TYRONE AVE APT 7B, SHERMAN OAKS, CA 91423-1128
(661) 309-2094
Mailing address
4949 TYRONE AVE APT 7B, SHERMAN OAKS, CA 91423-1128
(661) 309-2094
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
95004339
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
NONE
CA
Enumeration date
08/07/2018
Last updated
08/07/2018
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