Individual
MADELEINE KOVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6815 NOBLE AVE, #400, VAN NUYS, CA 91405-3796
(818) 901-6690
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3987
CA
Other
Enumeration date
03/01/2010
Last updated
10/08/2024
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