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Individual

EDWARD CONNOR PASHKOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
155 WILLOWBROOK DR, BEN LOMOND, CA 95005-9714
(831) 336-5196
Mailing address
155 WILLOWBROOK DR, BEN LOMOND, CA 95005-9714
(831) 336-5196

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
372600000X
Adult Companion
Primary
CA

Other

Enumeration date
10/28/2024
Last updated
04/22/2025
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