IVAYLO VESELINOV

COLUSA, CA
NPI1093554172
Former NameIVAYLO ILIYANOV VESELINOV
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  95028573)
Enumeration Date2024-05-20
Last Update Date2024-05-20
Business Address
IVAYLO VESELINOV
199 E WEBSTER ST
COLUSA, CA 95932-0019
Phone number: 530-619-0800
Mailing Address
IVAYLO VESELINOV
2005 N RIVINGTON WAY
EAGLE, ID 83616-7484
Phone number: 208-717-5877