Individual
KOSTYANTYN V FILONOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3140 SE BEECHCREST CT, PORT ORCHARD, WA 98366-1116
(425) 577-0950
Mailing address
2018 SE JUNIPER CT, PORT ORCHARD, WA 98366-3423
(425) 577-0950
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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