VITALIY VIKTOR KOSTYUKEVICH

SACRAMENTO, CA
NPI1376881227
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA22576)
Enumeration Date2013-01-28
Last Update Date2022-01-03
Business Address
-- VITALIY VIKTOR KOSTYUKEVICH PA-C
4112 E COMMERCE WAY
SACRAMENTO, CA 95834-9680
Phone number: 916-396-2929
Mailing Address
-- VITALIY VIKTOR KOSTYUKEVICH PA-C
4112 E COMMERCE WAY
SACRAMENTO, CA 95834-9680
Phone number:
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