Sandzhar Yusupov
NPI #1154770030 in Canton, Massachusetts
Provider Information
- NPI Number
- 1154770030
- Entity Type
- Individual
- Name
- Sandzhar Yusupov
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Contractor - Vehicle Modifications
- Enumeration Date
- Jun 10, 2016
- Last Updated
- Jun 10, 2016
Practice Location
- Address
- 95 WASHINGTON ST
- Address 2
- STE #474
- City
- Canton
- State
- Massachusetts
- ZIP Code
- 02021-4006
- Phone
- (781) 821-3411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor - Vehicle Modifications — Vehicle Modifications |
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