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Individual

MR. DMITRY TSUKERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
B.A.

Contact information

Practice address
100 E VALLEY VIEW DR, FULLERTON, CA 92832-1321
(714) 680-9000
Mailing address
580 ARCHWOOD AVE, BREA, CA 92821-2707
(562) 686-7819

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
07/26/2012
Last updated
06/26/2013
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