Individual
VICTORIA KALMYKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
92222 CAPE ARAGO HWY, COOS BAY, OR 97420-8744
(805) 602-7103
Mailing address
92222 CAPE ARAGO HWY, COOS BAY, OR 97420-8744
(805) 602-7103
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201906677RN
OR
Other
Enumeration date
04/24/2020
Last updated
04/24/2020
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