Individual
ANDREY DEKHTYAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12450 NE 130TH CT APT F103, KIRKLAND, WA 98034-7424
(206) 351-7893
Mailing address
12450 NE 130TH CT APT F103, KIRKLAND, WA 98034-7424
(206) 351-7893
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
801933
NY
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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