MIRA TAKHALOVA, RN

Registered Nurse - Gerontology

Active Individual
NPI: 1366171779

Practice Address

8445 VERNON AVENUE #309
Los Angeles, CA 90067

Phone: (323) 633-6363

Specialties

Specialty Code Primary License
Registered Nurse - Gerontology 163WG0600X Yes 586479 (CA)

Frequently Asked Questions

NPI 1366171779 is the National Provider Identifier for MIRA TAKHALOVA, RN, a Registered Nurse - Gerontology provider located in Los Angeles, CA. This NPI was enumerated on June 9, 2022.
MIRA TAKHALOVA, RN practices at 8445 VERNON AVENUE #309, Los Angeles, CA 90067.

Quick Facts

NPI
1366171779
Type
Individual
Enumerated
Jun 9, 2022
Last Updated
Jun 9, 2022

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