Individual
NISSIM S RAKHMINOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6716 OLD PIMLICO RD, BALTIMORE, MD 21209-1612
(410) 900-0554
Mailing address
6716 OLD PIMLICO RD, BALTIMORE, MD 21209-1612
(410) 900-9970
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
A3705
MD
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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