KONSTANTIN SERGEYEVICH GUTNICHENKO

FAIRFAX, VA
NPI1538847348
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: VA  0136000798)
Enumeration Date2023-07-11
Last Update Date2023-07-11
Business Address
KONSTANTIN SERGEYEVICH GUTNICHENKO
12011 LEE JACKSON HWY STE 501
FAIRFAX, VA 22033-3315
Phone number: 703-259-7027
Mailing Address
KONSTANTIN SERGEYEVICH GUTNICHENKO
PO BOX 221135
CHANTILLY, VA 20153-1135
Phone number: 703-259-7027
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