Individual
ANDREY BOGDANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4440 S EASTERN AVE, LAS VEGAS, NV 89119-7825
(702) 867-0945
Mailing address
5302 NE 72ND AVE APT I93, VANCOUVER, WA 98661-3572
(360) 450-7786
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/21/2018
Last updated
01/21/2018
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