Individual
DANIEL BONDARENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPT
Contact information
Practice address
790 ELDER DR, WEST SACRAMENTO, CA 95605-2427
(916) 804-9670
Mailing address
790 ELDER DR, WEST SACRAMENTO, CA 95605-2427
(916) 804-9670
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
J9Q4W4W6
CA
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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