Individual
ANDREI NEVROV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3316 OAKVIEW LN, CARMICHAEL, CA 95608-3726
(916) 764-1469
Mailing address
3316 OAKVIEW LN, CARMICHAEL, CA 95608-3726
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN271467
CA
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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