ANDREY IVANOVICH SIDORENKO

PORTERVILLE, CA
NPI1548576754
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  21131)
Enumeration Date2010-08-25
Last Update Date2015-04-07
Business Address
-- ANDREY IVANOVICH SIDORENKO PA-C
465 W PUTNAM AVE
PORTERVILLE, CA 93257-3320
Phone number: 559-791-4745
Mailing Address
-- ANDREY IVANOVICH SIDORENKO PA-C
4460 W SHAW AVE # 405
FRESNO, CA 93722-6210
Phone number: 559-271-7003
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