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Individual

VOLODYMYR YAKOVCHUK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4441 KITTIWAKE WAY, OCEANSIDE, CA 92057-7727
(760) 485-7079
Mailing address
255 HYACINTH WAY, OCEANSIDE, CA 92057-6648
(980) 219-2365

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000045569069
DRIVER LICENSE
NC
Enumeration date
10/30/2023
Last updated
10/30/2023
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