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Individual

DMITRIY MARKIV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3108 ARDEN WAY, SACRAMENTO, CA 95825-2002
(916) 485-2500
(916) 485-2500
Mailing address
3108 ARDEN WAY, SACRAMENTO, CA 95825-2002
(916) 485-2500
(916) 485-2500

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
348977
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
348977
COUNTY OF SACRAMENTO GENERAL BUSINESS LICENSE
CA
01
54748
STATE OF CALIFORNIA HOME MEDICAL DEVICE RETAIL LICENSE
CA
Enumeration date
08/24/2011
Last updated
11/29/2011
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