Individual
SVETLANA RADCHENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP-C
Contact information
Practice address
4915 TYRONE AVE APT 214, SHERMAN OAKS, CA 91423-1107
(323) 547-3855
Mailing address
4915 TYRONE AVE APT 214, SHERMAN OAKS, CA 91423-1107
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
22201
CA
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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