Individual
ALIYA KHASANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 NORTH BLVD STE 200, BATON ROUGE, LA 70806-3743
(225) 381-6620
Mailing address
200 NE 20TH ST APT 248B, BOCA RATON, FL 33431-8038
(917) 724-4073
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/06/2022
Last updated
04/08/2022
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