Individual
MIKHAIL SKVOLYGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RCP, RRT
Contact information
Practice address
5580 LAKE PARK WAY # 20, LA MESA, CA 91942-4253
(619) 928-1113
Mailing address
5580 LAKE PARK WAY # 20, LA MESA, CA 91942-4253
(619) 928-1113
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
32720
CA
2279H0200X
Home Health Registered Respiratory Therapist
32720
CA
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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