Individual
DR. ATHANASIA NANCY KAKOYANNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
604 ROSE AVE, VENICE, CA 90291-2767
(310) 664-7685
Mailing address
604 ROSE AVE, VENICE, CA 90291-2767
(310) 664-7685
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A10217
CA
Other
Enumeration date
08/09/2007
Last updated
03/10/2010
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