Search › California › 171W00000X
Larisa Kononov, ADMINISTRATOR
NPI 1760916811 · on the registry since 2017 · sole proprietor
Practice
- Address
- 3620 Winona Way
North Highlands, CA 95660 - Phone
- (916) 628-9097
- Fax
- (916) 568-9752
Registry record
- Primary taxonomy
- 171W00000X
171W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-04-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California