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Individual

MRS. VIKTORIA ZALESOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9815 52ND AVE N, SAINT PETERSBURG, FL 33708-3715
(727) 202-5018
(727) 202-5018
Mailing address
9815 52ND AVE N, SAINT PETERSBURG, FL 33708-3715
(727) 202-5018
(727) 202-5018

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
233118
FL
372600000X
Adult Companion
233118
FL
376J00000X
Homemaker
Primary
233118
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009607900
FL
Enumeration date
10/30/2013
Last updated
11/05/2013
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