Individual
DEBRA L KABAIVANOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4420 W SARAH ST, #26, BURBANK, CA 91505
(818) 561-4062
Mailing address
4420 W SARAH ST, #26, BURBANK, CA 91505
(818) 561-4062
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
3304052
FL
363LF0000X
Family Nurse Practitioner
Primary
19585
CA
Other
Enumeration date
07/15/2005
Last updated
02/05/2013
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