Individual
SAMIRA AMIROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6511 VAN NUYS BLVD, VAN NUYS, CA 91401-1425
(818) 901-9090
Mailing address
6511 VAN NUYS BLVD, VAN NUYS, CA 91401-1425
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95002261
CA
Other
Enumeration date
10/22/2015
Last updated
12/06/2021
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