Individual
YEVGENIY SERIKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
935B SPRING ST, PLACERVILLE, CA 95667-4523
(530) 621-6213
Mailing address
4541 PONY EXPRESS TRL, CAMINO, CA 95709-9613
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
RN95367401
CA
Other
Enumeration date
03/27/2024
Last updated
05/28/2025
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