OXANA USHAKOVA

MODESTO, CA
NPI1871166082
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  A194402)
Additional Taxonomies207R00000X Internal Medicine
(Licence: OH  57.251455)
Enumeration Date2021-07-24
Last Update Date2024-09-09
Business Address
OXANA USHAKOVA
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-550-4744
Mailing Address
OXANA USHAKOVA
PO BOX 255228
SACRAMENTO, CA 95865-5228
Phone number: