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Individual

MR. VASILY VAKULCHIK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
10737 ROBOLA WAY, RANCHO CORDOVA, CA 95670-6941
(916) 247-4484
Mailing address
10737 ROBOLA WAY, RANCHO CORDOVA, CA 95670-6941
(916) 247-4484

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
B9221791
CA
343900000X
Non-emergency Medical Transport (VAN)
Primary
7NXK276
CA
347C00000X
Private Vehicle
7ASZ860
CA

Other

Enumeration date
03/26/2015
Last updated
01/04/2016
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