ALEKSANDR ANATOLYEVICH KASYANCHUK

PORT ORCHARD, WA
NPI1124805031
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA  AP61482837)
Enumeration Date2023-09-13
Last Update Date2023-09-13
Business Address
ALEKSANDR ANATOLYEVICH KASYANCHUK
320 S KITSAP BLVD
PORT ORCHARD, WA 98366-3778
Phone number: 360-377-3776
Mailing Address
ALEKSANDR ANATOLYEVICH KASYANCHUK
14134 110TH AVE NE
KIRKLAND, WA 98034-4480
Phone number:
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