Individual
VALENTYNA IVANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12311 PERRY HWY, WEXFORD, PA 15090-8344
(878) 332-4214
(878) 332-4468
Mailing address
12311 PERRY HWY, WEXFORD, PA 15090-8344
(878) 332-4214
(878) 332-4468
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD446886
PA
Other
Enumeration date
10/25/2011
Last updated
10/15/2020
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