Individual
OLEG DINOVETSKIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
542 FOREST LAKE RD, FOREST CITY, NC 28043-5112
(828) 447-5523
Mailing address
358 SHADY WOODS LN, RUTHERFORDTON, NC 28139-2768
(828) 447-5523
(828) 286-1427
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
FCL-081-054
NC
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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