ALISA KHOMUTOVA

KNOXVILLE, TN
NPI1659908960
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: TN  73554)
Enumeration Date2020-03-25
Last Update Date2025-08-08
Business Address
ALISA KHOMUTOVA MD
1924 ALCOA HWY
KNOXVILLE, TN 37920-1511
Phone number: 818-523-6550
Mailing Address
ALISA KHOMUTOVA MD
7924 WOODMAN AVE UNIT 12
PANORAMA CITY, CA 91402-6225
Phone number: 818-212-9962