VADIM KOVALEVICH

ERIE, PA
NPI1477221752
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: PA  SP024104)
Enumeration Date2021-09-01
Last Update Date2021-09-01
Business Address
VADIM KOVALEVICH CRNP
2928 PEACH ST
ERIE, PA 16508-1843
Phone number: 814-453-6229
Mailing Address
VADIM KOVALEVICH CRNP
4102 AMHERST RD
ERIE, PA 16506-5354
Phone number: