Individual
MIKHAIL VIKTOROVICH NEZHIVOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20617 108TH AVE SE APT H17, KENT, WA 98031-1581
(253) 813-5807
Mailing address
20617 108TH AVE SE APT H17, KENT, WA 98031-1581
(253) 813-5807
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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