Individual
DR. ANDREY OSTATNIGROSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5717 N 1ST ST, FRESNO, CA 93710-6203
(559) 246-0090
Mailing address
487 S OAK GLEN AVE, NIPOMO, CA 93444-9010
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC37116
CA
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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