Individual
PAVEL I GERASIMCHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19511 E MICAVIEW DR, GREENACRES, WA 99016-9643
(509) 499-2737
Mailing address
19511 E MICAVIEW DR, GREENACRES, WA 99016-9643
(509) 499-2737
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
11889
WA
Other
Enumeration date
10/16/2024
Last updated
10/18/2024
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