Individual
KSENIIA PAVLOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
370 BERGIN DR APT G, MONTEREY, CA 93940-4852
(831) 220-2031
Mailing address
370 BERGIN DR APT G, MONTEREY, CA 93940-4852
(831) 220-2031
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
—
—
172A00000X
Driver
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
09/28/2024
Last updated
02/13/2025
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