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Individual

PAVEL PUSTOVOY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CEO

Contact information

Practice address
5753 AUBURN BLVD STE 23, SACRAMENTO, CA 95841-2953
(916) 790-0993
Mailing address
7328 THALIA WAY, CITRUS HEIGHTS, CA 95621-5595
(916) 790-0993

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
Y4856046
CA

Other

Enumeration date
05/11/2023
Last updated
05/11/2023
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