person
Viktor Vasilyevich Fedorov
Student in an Organized Health Care Education/Training Program in Wilmington, North Carolina
NPI 1861855140

Viktor Vasilyevich Fedorov is a Student in an Organized Health Care Education/Training Program based in Wilmington, NC. Viktor Vasilyevich Fedorov practices in Wilmington, NC. The NPI Number for Viktor Vasilyevich Fedorov is 1861855140 and holds a License No. 218430 (North Carolina).

The current practice location address for Viktor Vasilyevich Fedorov is 2131 S 17Th St, Wilmington, NC and can be reached out via phone at 910-343-7000 and via fax at 910-667-5650. You can also correspond with Viktor Vasilyevich Fedorov through the mailing address at 2131 S 17TH ST, WILMINGTON, NC - 28401-7407 (mailing address contact number: 910-343-7000).

Location: 2131 S 17Th St, Wilmington, NC, 28401-7407
person
Provider Profile Details
NPI Number
1861855140
Provider Name
Viktor Vasilyevich Fedorov
Credential
Provider Entity Type
Individual
Gender
Male
Address
2131 S 17Th St, Wilmington, NC, 28401-7407
Phone Number
910-343-7000
Fax Number
910-667-5650
Provider Enumeration Date
04/03/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2131 S 17Th St
City
State
Zip
28401-7407
Phone Number
910-343-7000
Fax Number
910-667-5650
person
Provider Business Mailing Address Details
Address
2131 S 17Th St
City
State
Zip
28401-7407
Phone Number
910-343-7000
Fax Number
910-667-5650
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
218430 (North Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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