Individual
MR. OLEG PRIDYUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRT / RRT
Contact information
Practice address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(916) 474-7777
Mailing address
8730 PALMERSON DR, ANTELOPE, CA 95843-5881
(916) 532-1175
Taxonomy
Speciality
Code
Description
License number
State
2278C0205X
Critical Care Certified Respiratory Therapist
Primary
35333
CA
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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