LYDIA KLIMCHOCK

SAN DIEGO, CA
NPI1841533601
Former NameLYDIA KOSTRUKOFF
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  276394)
Additional Taxonomies163WM0705X Registered Nurse, Medical-Surgical
(Licence: CA  276394)
Enumeration Date2013-03-30
Last Update Date2013-03-30
Business Address
Ms. LYDIA KLIMCHOCK RNP
303 SAN GORGONIO ST
SAN DIEGO, CA 92106-3316
Phone number: 619-225-9883
Mailing Address
Ms. LYDIA KLIMCHOCK RNP
303 SAN GORGONIO ST
SAN DIEGO, CA 92106-3316
Phone number: 619-225-9883