Individual
ARIELLE C KRAVTSOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2933 IRONWOOD WAY, WEST SACRAMENTO, CA 95691-5131
(916) 595-4363
Mailing address
2933 IRONWOOD WAY, WEST SACRAMENTO, CA 95691-5131
(916) 595-4363
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
239801
CA
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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