Yelena Ivanova

NPI 1265754485 - Pharmacist - 183500000X

NPI Details
NPI 1265754485
Gender Female
Enumeration Date 02/16/2010
Last Updated 02/16/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
4100 52ND ST
KENOSHA WI, 53144-3900, US
Phone (262) 658-0902
Fax (262) 658-0560
Business Location
4100 52ND ST
KENOSHA WI, 53144-3900, US
Phone (262) 658-0902
Fax (262) 658-0560
Toxanomy
Taxonomy Code 183500000X
License State Wisconsin
License Number 15104
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According to our database, Mrs. Yelena Ivanova NPI is 1265754485, taxonomy code is 183500000X and license number is 15104, license state is located at Wisconsin. Yelena Ivanova physically located at 4100 52nd St, Kenosha WI, 53144-3900. NPI Number Yelena Ivanova has the Individual type.

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1265754485 NPI number is provided on an as is basis without warranty of any kind. 1265754485 is maintained by the National Plan & Provider Enumeration System. The contents of Yelena Ivanova are for informational purposes only.