Individual
ANDREY MIROSHNICHENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7909 LARK MEADOW AVE, LAS VEGAS, NV 89131-4710
(407) 437-9947
Mailing address
7909 LARK MEADOW AVE, LAS VEGAS, NV 89131-4710
(407) 437-9947
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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