Individual
IMOMBEK FARMONOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3975 LAUREL VALLEY DR, POWELL, OH 43065-8096
(347) 691-1101
Mailing address
3975 LAUREL VALLEY DR, POWELL, OH 43065-8096
(347) 691-1101
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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