SLAVIK OSIPCHUK

MERIDIAN, ID
NPI1164043162
Former NameVYACHESLAV OSIPCHUK
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  62202)
Enumeration Date2020-04-30
Last Update Date2020-05-01
Business Address
SLAVIK OSIPCHUK NP
2329 W ROOT CREEK ST
MERIDIAN, ID 83646-4678
Phone number: 208-724-4750
Mailing Address
SLAVIK OSIPCHUK NP
2329 W ROOT CREEK ST
MERIDIAN, ID 83646-4678
Phone number: 208-724-4750
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