Individual
AMELIA JEAN KOLENC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18226 VENTURA BLVD STE 102, TARZANA, CA 91356-4246
(818) 905-5904
Mailing address
6130 NEVADA AVE APT E215, WOODLAND HILLS, CA 91367-3433
(412) 508-0806
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
950006669
CA
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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