Sergey Dmitriyevich Kustov, PHARMD

NPI #1720690290 in Tujunga, California

Provider Information

NPI Number: 1720690290
Entity Type: Individual
Name: Sergey Dmitriyevich Kustov, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: PHARMD
Enumeration Date: Aug 17, 2020
Last Updated: Aug 17, 2020

Practice Location

Address: 10905 DELIBAN ST
City: Tujunga
State: California
ZIP Code: 91042-1451
Phone: (323) 352-4440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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