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Mr. Paul Fedorenko
Specialist in West Sacramento, California
NPI 1538407903

Paul Fedorenko is a Specialist based in West Sacramento, CA. Paul Fedorenko practices in West Sacramento, CA. The NPI Number for Paul Fedorenko is 1538407903 and holds a License No. 14279 (California).

The current practice location address for Paul Fedorenko is 2204 W Capitol Ave, West Sacramento, CA and can be reached out via phone at 916-572-0811 and via fax at 916-572-0813.

Location: 2204 W Capitol Ave, West Sacramento, CA, 95691-2425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538407903
Provider Name
Paul Fedorenko
Credential
Provider Entity Type
Individual
Gender
Male
Address
2204 W Capitol Ave, West Sacramento, CA, 95691-2425
Phone Number
916-572-0811
Fax Number
916-572-0813
Provider Enumeration Date
01/19/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2204 W Capitol Ave
City
West Sacramento
State
California
Zip
95691-2425
Phone Number
916-572-0811
Fax Number
916-572-0813
person
Provider Business Mailing Address Details
Address
2204 W Capitol Ave
City
West Sacramento
State
California
Zip
95691-2425
Phone Number
916-572-0811
Fax Number
916-572-0813
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
14279 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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