Individual
YELENA RAZGONYAYEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10330 SOPHIA AVE, GRANADA HILLS, CA 91344-6845
(818) 730-3772
Mailing address
10330 SOPHIA AVE, GRANADA HILLS, CA 91344-6845
(818) 730-3772
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
758557
CA
Other
Enumeration date
05/01/2020
Last updated
05/01/2020
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