Individual
ANNA GRIGORYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20226 LORNE ST, WINNETKA, CA 91306-1887
(818) 471-3306
Mailing address
20226 LORNE ST, WINNETKA, CA 91306-1887
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
95038705
CA
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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