Individual
MISS SANA ALEXANDROVNA NODELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DR. SAMUEL J. PORTER
Contact information
Practice address
7224 HILLSIDE AVE, 26, LOS ANGELES, CA 90046-2359
(323) 327-2694
Mailing address
7224 HILLSIDE AVE, 26, LOS ANGELES, CA 90046-2359
(323) 327-2694
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
Y2859416
CA
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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