Individual
PAUL NEFEDOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
33688
CA
152W00000X
Optometrist
Primary
ATI4325
OR
152W00000X
Optometrist
OD60997195
WA
Other
Enumeration date
03/31/2016
Last updated
06/17/2022
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