Provider First Line Business Practice Location Address:
NINA VASILIEV PA-C
Provider Second Line Business Practice Location Address:
15407 MULLER RD
Provider Business Practice Location Address City Name:
PLYMOUTH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95669-9770
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-260-6752
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/22/2018