Ksenia Petrushkina, PA

NPI #1972119451 in Sunny Isles Beach, Florida

Provider Information

NPI Number: 1972119451
Entity Type: Individual
Name: Ksenia Petrushkina, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Sep 19, 2020
Last Updated: Sep 19, 2020

Practice Location

Address: 17121 COLLINS AVE APT 1907
City: Sunny Isles Beach
State: Florida
ZIP Code: 33160-4380
Phone: (786) 564-3612

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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