DMITRIY VLADIMIROVICH BAZARON

SACRAMENTO, CA
NPI1043728249
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95030783)
Enumeration Date2018-01-22
Last Update Date2025-08-29
Business Address
DMITRIY VLADIMIROVICH BAZARON CNP
3234 MARYSVILLE BLVD
SACRAMENTO, CA 95815-1411
Phone number: 916-454-2345
Mailing Address
DMITRIY VLADIMIROVICH BAZARON CNP
1860 HOWE AVE STE 440
SACRAMENTO, CA 95825-1098
Phone number: 916-569-8484
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