ROSTISLAV V IZHEVSKIY

VANCOUVER, WA
NPI1174867030
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: WA  MA 60124536)
Enumeration Date2012-11-15
Last Update Date2012-11-15
Business Address
-- ROSTISLAV V IZHEVSKIY
12014 SE MILL PLAIN BLVD STE 120
VANCOUVER, WA 98684-4044
Phone number: 503-761-2110
Mailing Address
-- ROSTISLAV V IZHEVSKIY
3220 NE 148TH AVE
VANCOUVER, WA 98682-8376
Phone number: 360-852-2918
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