Individual
NATALIYA POLYANCHYKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1775 CHESTNUT AVE, LONG BEACH, CA 90813-1674
(562) 599-8444
Mailing address
1775 CHESTNUT AVE, LONG BEACH, CA 90813-1674
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
778961
CA
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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