Individual
BAKHTIYOR MUMINOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
736 BATTLEFIELD BLVD N, CHESAPEAKE, VA 23320-4941
(757) 312-8121
Mailing address
14545 SALEM CHURCH ST NE, ALLIANCE, OH 44601-9443
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001312983
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024185176
VA
Other
Enumeration date
08/24/2022
Last updated
09/10/2022
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