PAVEL PROKOPCHUK

EUREKA, CA
NPI1841952355
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95018779)
Enumeration Date2021-10-12
Last Update Date2023-07-18
Business Address
PAVEL PROKOPCHUK
2200 TYDD ST
EUREKA, CA 95501-1284
Phone number: 707-269-7051
Mailing Address
PAVEL PROKOPCHUK
1275 8TH ST
ARCATA, CA 95521-5770
Phone number: 707-826-8633
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