ALEXANDER SELIVANOV

LAS VEGAS, NV
NPI1144417247
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
(Licence: NV  2000143.424)
Enumeration Date2007-10-02
Last Update Date2008-05-29
Business Address
-- ALEXANDER SELIVANOV
3510 E TROPICANA AVE STE M
LAS VEGAS, NV 89121-7341
Phone number: 702-436-1717
Mailing Address
-- ALEXANDER SELIVANOV
3510 E TROPICANA AVE STE M
LAS VEGAS, NV 89121-7341
Phone number: 702-436-1717
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