Individual
MR. VIKTOR F KLEYONKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.P.
Contact information
Practice address
1803 NE 125TH CT, VANCOUVER, WA 98684-5545
(360) 944-6895
Mailing address
1803 NE 125TH CT, VANCOUVER, WA 98684-5545
(360) 944-6895
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00022090
WA
Other
Enumeration date
05/18/2010
Last updated
05/18/2010
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