Individual
ILIA YAMBOLIEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 MEDICAL PKWY, CARSON CITY, NV 89703-4625
(775) 445-8000
(775) 445-8368
Mailing address
214 CENTERVIEW DR, SUITE 100, BRENTWOOD, TN 37027-5274
(615) 345-5390
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
06/28/2010
Last updated
10/27/2011
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