Individual
ALEVTYNA IZAAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE BSN
Contact information
Practice address
128 22ND ST APT 2A, HERMOSA BEACH, CA 90254-2511
(310) 970-2582
Mailing address
128 22ND ST APT 2A, HERMOSA BEACH, CA 90254-2511
(310) 970-2582
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
841843
CA
Other
Enumeration date
07/26/2013
Last updated
07/26/2013
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