TAISA VASILKOVA

SYRACUSE, NY
NPI1487407540
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-04-09
Last Update Date2024-04-09
Business Address
TAISA VASILKOVA DO
301 PROSPECT AVE
SYRACUSE, NY 13203-1899
Phone number: 315-448-5111
Mailing Address
TAISA VASILKOVA DO
301 PROSPECT AVE
SYRACUSE, NY 13203-1899
Phone number: 315-448-5111