Individual provider · NPI-1

Tatiana Belenky

Technician · Round Rock, TX

NPI number1710659941
StatusActive
Last updated in NPPESOct 5, 2021

Details

NPI
1710659941
Entity type
Individual (NPI-1)
Name
Tatiana Belenky
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 5, 2021
Certification date
Oct 5, 2021
Last updated
Oct 5, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374700000X Technician––Yes

Practice location

2950 E Old Settlers Blvd Unit 72
Round Rock, TX 78665-2479

Phone 512-765-3421

Mailing address

2950 E Old Settlers Blvd Unit 72
Round Rock, TX 78665-2479

Phone 512-765-3421

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