Individual
SERGEY MIRONYUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6485 BRANDO LOOP, FAIR OAKS, CA 95628-3764
(916) 712-7630
Mailing address
6485 BRANDO LOOP, FAIR OAKS, CA 95628-3764
(916) 712-7630
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
B7174900
CA
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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