MYKOLA ALEXANDER PRISICHENKO

IRVINE, CA
NPI1982464624
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601012367)
Enumeration Date2024-03-20
Last Update Date2025-07-23
Business Address
MYKOLA ALEXANDER PRISICHENKO
25 PACIFICA APT 6408
IRVINE, CA 92618-3367
Phone number: 616-581-8989
Mailing Address
MYKOLA ALEXANDER PRISICHENKO
25 PACIFICA APT 6408
IRVINE, CA 92618-3367
Phone number: 616-581-8989