Individual
MS. ALLA KRYUKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1200 N STATE ST, LA USC COUNTY MEDICAL CENTER, LOS ANGELES, CA 90033
(323) 226-2622
Mailing address
17500 SHERMAN WAY UNIT 101, LAKE BALBOA, CA 91406-3556
(818) 585-0326
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
564226
CA
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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