Individual
IRINA P ADAMOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 ANNADALE LN APT 40, SACRAMENTO, CA 95821-2030
(916) 505-4774
Mailing address
3900 ANNADALE LN APT 40, SACRAMENTO, CA 95821-2030
(916) 505-4774
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
D4440855
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11572585
KAISER PERMANENTE
CA
Enumeration date
03/22/2018
Last updated
06/16/2018
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