VIATCHESLAV FATYUKHIN

FARGO, ND
NPI1740005941
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2024-11-21
Last Update Date2024-11-21
Business Address
VIATCHESLAV FATYUKHIN
1202 WESTRAC DR S STE 400
FARGO, ND 58103-2356
Phone number: 701-280-9545
Mailing Address
VIATCHESLAV FATYUKHIN
1202 WESTRAC DR S STE 400
FARGO, ND 58103-2356
Phone number: 701-280-9545
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