EVGENY PONKRATOV

LAS VEGAS, NV
NPI1225218555
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
(Licence: NV  H13-00316)
Enumeration Date2007-11-03
Last Update Date2007-11-03
Business Address
-- EVGENY PONKRATOV
900 E KAREN AVE STE C114
LAS VEGAS, NV 89109-1275
Phone number: 702-481-5368
Mailing Address
-- EVGENY PONKRATOV
900 E KAREN AVE STE C114
LAS VEGAS, NV 89109-1275
Phone number:
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