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Individual

VYACHESLAV PAPKOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5250 DATE AVE STE G, SACRAMENTO, CA 95841-2564
(612) 396-8675
Mailing address
8518 STORY RIDGE WAY, ANTELOPE, CA 95843-5232
(612) 396-8675

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
06/12/2020
Last updated
06/12/2020
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