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Rostislav Bondarenko

NPI 1598364812 · on the registry since 2020 · sole proprietor

Practice

Address
611 Francis Ave
Walla Walla, WA 99362
Phone
(509) 200-3195

Registry record

Primary taxonomy
171R00000X
171R00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington