Individual
ANASTASIIA KVIATKIVSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2086 EGLIN AVE APT B, HOLLOMAN AFB, NM 88330-7216
(843) 687-0632
Mailing address
2086 EGLIN AVE APT B, HOLLOMAN AFB, NM 88330-7216
(843) 687-0632
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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