Individual
ARTEM SHESTAKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 DIGGINS DR, FOLSOM, CA 95630-3278
(916) 459-0386
Mailing address
22 DIGGINS DR, FOLSOM, CA 95630-3278
(916) 459-0386
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1351462
CA
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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