MR. Vladimir Kuksenko

NPI #1003362328 in Ferndale, Washington

Provider Information

NPI Number: 1003362328
Entity Type: Individual
Name: MR. Vladimir Kuksenko
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Residential Treatment Facility, Physical Disabilities
Enumeration Date: Aug 28, 2016
Last Updated: Aug 28, 2016

Practice Location

Address: 1958 EATON AVE
City: Ferndale
State: Washington
ZIP Code: 98248-9709
Phone: (360) 318-5636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Physical Disabilities	320700000X	Primary

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