Individual
EKATERINA KOROL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
450 BAUCHET ST, LOS ANGELES, CA 90012-2907
(818) 304-1176
Mailing address
14333 ADDISON ST APT 206, SHERMAN OAKS, CA 91423-1853
(818) 469-6450
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95014263
CA
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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