ANDREY BALYKOV

CAPE CORAL, FL
NPI1043913908
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL  AL4709)
Enumeration Date2023-03-22
Last Update Date2023-03-27
Business Address
Mr. ANDREY BALYKOV ATC ATL
2204 OASIS PALM CIR APT 405
CAPE CORAL, FL 33991-3391
Phone number: 239-560-9185
Mailing Address
Mr. ANDREY BALYKOV ATC ATL
8099 COLLEGE PKWY
FORT MYERS, FL 33919-5598
Phone number: