YELENA KOSTYUKOV

UPLAND, PA
NPI1265720502
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: PA  MA054953)
Enumeration Date2011-07-20
Last Update Date2011-07-20
Business Address
-- YELENA KOSTYUKOV PA-C
30 MEDICAL CENTER BLVD PROF OFFICE BLDG 1, SUITE 305
UPLAND, PA 19013
Phone number: 610-874-4147
Mailing Address
-- YELENA KOSTYUKOV PA-C
535 BOBBIN MILL RD
MEDIA, PA 19063-1529
Phone number: