Individual
MRS. ELLA MASTOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6658 CAPISTRANO AVE, WEST HILLS, CA 91307-3731
(323) 327-8554
Mailing address
7939 COWPER AVE, WEST HILLS, CA 91304-6101
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
655963
CA
163WC1500X
Community Health Registered Nurse
655963
CA
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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