ALISA KHOMUTOVA

STONY BROOK, NY
NPI1659908960
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-03-25
Last Update Date2020-03-25
Business Address
ALISA KHOMUTOVA
HSC LEVEL 19 ROOM 030
STONY BROOK, NY 11794-0001
Phone number: 631-444-1791
Mailing Address
ALISA KHOMUTOVA
HEALTH SCIENCE TOWER LEVEL 19, ROOM 030
STONY BROOK, NY 11794-0001
Phone number: 818-212-9962