VADIM SELYUKOV

PHILADELPHIA, PA
NPI1205306545
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: PA  SP019675)
Enumeration Date2018-11-29
Last Update Date2019-06-27
Business Address
VADIM SELYUKOV
8815 GERMANTOWN AVE STE 16
PHILADELPHIA, PA 19118-2722
Phone number: 215-242-1159
Mailing Address
VADIM SELYUKOV
1102 LITTLE LN
WARMINSTER, PA 18974-1963
Phone number:
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