ANDREI IVANOVICH KONONOVICH

PLACERVILLE, CA
NPI1215556725
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WM0705X Registered Nurse, Medical-Surgical
(Licence: CA  95186212)
Enumeration Date2020-04-14
Last Update Date2020-04-14
Business Address
ANDREI IVANOVICH KONONOVICH RN
1100 MARSHALL WAY
PLACERVILLE, CA 95667-6533
Phone number: 530-622-1441
Mailing Address
ANDREI IVANOVICH KONONOVICH RN
2301 FICUS CIR
EL DORADO HLS, CA 95762-6812
Phone number: