ELENA DOMATOV

LEXINGTON, KY
NPI1417110966
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2008-07-04
Last Update Date2008-07-04
Business Address
-- ELENA DOMATOV
3769 WINTHROP DR
LEXINGTON, KY 40514-1748
Phone number: 859-971-1711
Mailing Address
-- ELENA DOMATOV
3769 WINTHROP DR
LEXINGTON, KY 40514-1748
Phone number: