Individual
HALYNA KRAVETS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1402 W COLONIAL PKWY, ROSEVILLE, CA 95661-5007
(916) 996-5649
Mailing address
1402 W COLONIAL PKWY, ROSEVILLE, CA 95661-5007
(916) 996-5649
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
95122640
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95122640
—
CA
Enumeration date
07/31/2020
Last updated
07/31/2020
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