Individual
SERGEY PUSTOVOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7433 GREENBACK LN STE I, CITRUS HEIGHTS, CA 95610-5696
(916) 470-8424
Mailing address
7328 THALIA WAY, CITRUS HEIGHTS, CA 95621-5595
(916) 470-8424
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
GEN-06296
CA
Other
Enumeration date
08/07/2012
Last updated
08/11/2014
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