NIKITA KOSTRUBSKY

DAYTONA BEACH, FL
NPI1831992445
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-03-29
Last Update Date2025-03-29
Business Address
NIKITA KOSTRUBSKY
1200 W INTERNATIONAL SPEEDWAY BLVD STE 101
DAYTONA BEACH, FL 32114-2817
Phone number: 386-252-0601
Mailing Address
NIKITA KOSTRUBSKY
1200 W INTERNATIONAL SPEEDWAY BLVD STE 101
DAYTONA BEACH, FL 32114-2817
Phone number: